Individual
CHRISTINE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5103 N 10TH ST, MCALLEN, TX 78504-2835
(956) 451-1861
Mailing address
5103 N 10TH ST, MCALLEN, TX 78504-2835
(956) 451-1861
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013165
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT013165
LICENSED MASSAGE THERAPIST
TX
Enumeration date
10/09/2017
Last updated
10/09/2017
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