Individual
MS. JENNIFER LYNN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2180 E 4500 S, SUITE 190, HOLLADAY, UT 84117-4434
(801) 554-7991
Mailing address
2180 E 4500 S, SUITE 190, HOLLADAY, UT 84117-4434
(801) 554-7991
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
356148-4701
UT
Other
Enumeration date
09/25/2010
Last updated
01/25/2012
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