National Provider Identifier
Iesha Jackson
Iesha Jackson is listed in the NPPES registry with a primary specialty of Massage Therapist in Buffalo, NY and a listed phone number of (716) 939-7222.
Profile Overview
- NPI
- 1437862471
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- January 04, 2023
- Last Updated
- January 21, 2025
Practice Location
- 2871 Genesee St
- Buffalo, NY 14225-3141
Phone: (716) 939-7222
Mailing Address
- 224 Blaine Ave
- Buffalo, NY 14208-1018
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1437862471
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Iesha
- Mailing Street Address
- 224 Blaine Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14208-1018
- Mailing Country
- US
- Mailing Phone
- (716) 939-2222
- Practice Street Address
- 2871 Genesee St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14225-3141
- Practice Country
- US
- Practice Phone
- (716) 939-7222
- Enumeration Date
- January 04, 2023
- Last Updated
- January 21, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 21, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)