Individual
HEATHER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBMT
Contact information
Practice address
575 SE BROAD ST STE 7, SOUTHERN PINES, NC 28387-6046
(910) 275-5766
Mailing address
PO BOX 1355, CARTHAGE, NC 28327-1355
(910) 275-5766
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20903
NC
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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