Individual
DESIRAE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23150 N PIMA RD STE 19, SCOTTSDALE, AZ 85255-4334
(480) 284-1512
Mailing address
15850 N THOMPSON PEAK PKWY APT 2075, SCOTTSDALE, AZ 85260-2147
(480) 416-4340
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24258
AZ
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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