Male or Other

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)

Code

225700000X

Primary Taxonomy

Yes

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

Provider Address

Other Massage Therapist in Lake Station, Indiana:

Male or Other

Steven Slavo LMT

Lake Station, IN

Specialty: Massage Therapist (Primary)