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Mallary Jackson, LMT

NPI 1851253702 · on the registry since 2025 · sole proprietor

Practice

Address
18218 James Couzens Fwy
Detroit, MI 48235
Phone
(313) 699-5301
Organisation at this address
Jupiter Wellness Co Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-01

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 Michigan