JODY M JACKSON

WEST ST PAUL, MN
NPI1407235922
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: MN  153830-6)
Enumeration Date2015-05-29
Last Update Date2015-12-26
Business Address
-- JODY M JACKSON
33 WENTWORTH AVE E SUITE 240
WEST ST PAUL, MN 55118-3431
Phone number: 612-770-7565
Mailing Address
-- JODY M JACKSON
33 WENTWORTH AVE E SUITE 240
WEST ST PAUL, MN 55118-3431
Phone number: 612-770-7565