Individual
ALEXIA DOMINIQUE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
223 KALAMAZOO ST, EAST LANSING, MI 48824-5400
(517) 355-9710
Mailing address
3127 TRAPPERS COVE TRL APT 2C, LANSING, MI 48910-8478
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601003099
MI
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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