National Provider Identifier
Denise Ann Jackson, LMT
Denise Ann Jackson, LMT is listed in the NPPES registry with a primary specialty of Specialist in Palmyra, NY and a listed phone number of (315) 597-5518.
Profile Overview
- NPI
- 1124263710
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- December 10, 2008
- Last Updated
- December 10, 2008
Practice Location
- 204 E Main St
- Palmyra, NY 14522-1128
Phone: (315) 597-5518
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1124263710
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Denise
- Middle Name
- Ann
- Credential
- LMT
- Mailing Street Address
- 204 E Main St
- Mailing City
- Palmyra
- Mailing State
- NY
- Mailing ZIP Code
- 14522-1128
- Mailing Country
- US
- Mailing Phone
- (315) 597-5518
- Practice Street Address
- 204 E Main St
- Practice City
- Palmyra
- Practice State
- NY
- Practice ZIP Code
- 14522-1128
- Practice Country
- US
- Practice Phone
- (315) 597-5518
- Enumeration Date
- December 10, 2008
- Last Updated
- December 10, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)