National Provider Identifier
Corrine R Jackson, LMT
Corrine R Jackson, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Buffalo, NY and a listed phone number of (716) 235-1338.
Profile Overview
- NPI
- 1952187882
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- September 06, 2023
- Last Updated
- May 08, 2025
Practice Location
- 40 N Forest RD
- Buffalo, NY 14221-5230
Phone: (716) 235-1338
Mailing Address
- 23 New Southgate RD Lowr
- Buffalo, NY 14215-1809
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1952187882
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Corrine
- Middle Name
- R
- Credential
- LMT
- Mailing Street Address
- 23 New Southgate RD Lowr
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1809
- Mailing Country
- US
- Mailing Phone
- (716) 310-4070
- Practice Street Address
- 40 N Forest RD
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14221-5230
- Practice Country
- US
- Practice Phone
- (716) 235-1338
- Enumeration Date
- September 06, 2023
- Last Updated
- May 08, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 08, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)