TIERRA JACKSON, TATTOO LICENSE

Rehabilitation Practitioner · SPRINGFIELD, MO

Individual Active NPI 1366267627

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Rehabilitation Practitioner225400000X2021043963MO
Other Technician247200000X2021043963MO

Other Rehabilitation Practitioner providers in Missouri

See all Rehabilitation Practitioner providers in Missouri

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.