Individual
ASHLEY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1101 TACOMA AVE, SUNNYSIDE, WA 98944-2264
(509) 839-5656
(509) 839-5682
Mailing address
1101 TACOMA AVE, SUNNYSIDE, WA 98944-2264
(509) 839-5656
(509) 839-5682
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60677931
WA
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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