National Provider Identifier
Katrina Marie Jackson
Katrina Marie Jackson is listed in the NPPES registry with a primary specialty of Massage Therapist in Williamsville, NY and a listed phone number of (716) 631-1516.
Profile Overview
- NPI
- 1396486486
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- April 05, 2022
- Last Updated
- April 05, 2022
Practice Location
- 400 International Dr
- Williamsville, NY 14221-5771
Phone: (716) 631-1516
Specialties
- Massage Therapist (225700000X)
Endpoints
- Kjackson@invisionhealth.com
Direct Messaging Address | Health Information Exchange (Hie) | Csv | Williamsville, NY 14221
Full Record
- NPI
- 1396486486
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Katrina
- Middle Name
- Marie
- Mailing Street Address
- 400 International Dr
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5771
- Mailing Country
- US
- Mailing Phone
- (716) 631-1516
- Practice Street Address
- 400 International Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5771
- Practice Country
- US
- Practice Phone
- (716) 631-1516
- Enumeration Date
- April 05, 2022
- Last Updated
- April 05, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 04, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)