CALVIN JACKSON

NPI: 1053701003 · Individual · Active

Primary Specialty

Massage Therapist

Practice Location

101 E MAIN ST
STE 201
MONROE, WA 98272-1519 Map ↗
Phone: 360-863-0642
Fax: 360-794-7236

Mailing Address

PO BOX 14072
MILL CREEK, WA 98082-2072 Map ↗

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Massage Therapist Primary (license: MA60431582, WA)

NPI Registration

Enumerated: 2015-01-29

Last CMS Update: 2015-01-29