Search › Louisiana › 225700000X
Jackie Wilson, LMT
NPI 1356628325 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1019 N Range Ave
Suite B
Denham Springs, LA 70726 - Phone
- (225) 791-8154
- Fax
- (225) 791-8152
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 173C00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana