Jackson, Leandra

Jackson, Leandra is an sole proprietor health care provider with primary practice located at 7967 Gladwater Rd , Peyton CO 80831-6067. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Mechanotherapist. Other Service Providers / Mechanotherapist is her primary health care specialty. Jackson, Leandra can be contacted via phone (719) 232-2653.

Contact Information

Primary practice address
7967 Gladwater Rd Peyton CO 80831-6067
Phone: (719) 232-2653
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 919508 Colorado
Other Service Providers / Mechanotherapist 172M00000X MT-002445 Colorado

Profile Details

NPI number 1730319443
LBN Legal business name Jackson, Leandra
Credentials RMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2009
Last updated Apr 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730319443 NPPES
Colorado Other 1710343595 MEDICAL MASSAGE THERAPY

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