Individual
SHARON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
501 N MAIN ST, SUITE G, CLEBURNE, TX 76033-3824
(817) 933-3923
Mailing address
4215 SOUTHERN OAKS RD, CLEBURNE, TX 76031-8511
(817) 933-3923
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT108784
TX
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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