Individual
KRYSTAL NICOLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CHHP
Contact information
Practice address
8342 WHITE MULBERRY, SAN ANTONIO, TX 78254-5792
(210) 556-8266
Mailing address
8342 WHITE MULBERRY, SAN ANTONIO, TX 78254-5792
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
—
—
225700000X
Massage Therapist
Primary
MT133922
TX
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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