Search › Idaho › 225700000X
Holli Jackson, ATC, LMT, CES, PES
NPI 1598289233 · on the registry since 2017
Practice
- Address
- 5109 Bluestem Way
Caldwell, ID 83607 - Phone
- (208) 964-9504
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 2255A2300X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-29
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 Idaho