Organization
JACKIE'S BEAUTY SUPPLY, LLC
Active
Other names
The J Spa
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE JOHNSON LMT (OWNER)
(541) 423-7009
Entity
Organization
Contact information
Practice address
485 ALEXANDER LOOP STE 110, EUGENE, OR 97401-6753
(541) 423-7009
Mailing address
PO BOX 21112, EUGENE, OR 97402-0356
(541) 423-7009
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19559
OR
Other
Enumeration date
11/06/2017
Last updated
10/08/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up