Individual
AUSTIN SAYLOR JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 W 34TH ST RM 204, NEW YORK, NY 10001-3011
(212) 600-4808
Mailing address
757 HART ST APT 3R, BROOKLYN, NY 11237-3584
(971) 645-5213
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033265
NY
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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