Individual
TRAVIS AARON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT, NASM-CPT
Contact information
Practice address
191 CHARLOTTE ST, ASHEVILLE, NC 28801-1989
(828) 772-0719
Mailing address
126 PENNSYLVANIA AVE, ASHEVILLE, NC 28806-4121
(828) 772-0719
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4393
NC
Other
Enumeration date
11/03/2019
Last updated
11/03/2019
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