David E. Jackson C.M.T.
Massage Therapist in Lake Station, IN(View on Map)
Full Name
David Edward Jackson C.M.T.
NPI Number
1275711350
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/31/2008
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
3321 E 35TH AVE
3321 E 35TH AVE
City
Lake Station
Lake Station
State
IN
IN
Postal Code
46405-3016
46405-3016
Country
US
US
Telephone Number
(219) 714-4100
(219) 714-4100
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/31/2008