MR. CHRISTOPHER AINSLEY NALLY JACKSON (NPI# 1720513997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720513997 |
Entity Type | Individual |
Full Name | MR. CHRISTOPHER AINSLEY NALLY JACKSON |
Credential | LMT |
Practice Address |
124 Wren Way Newark DE 19711-8330 |
Practice Telephone | 3025256808 |
Mailing Telephone | 3025256808 |
Enumeration Date | 2017-04-25 |
Last Update Date | 2017-04-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT-0004504 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417502998 | Christopher Robert Jackson | Residential Treatment Facility, Emotionally Disturbed Children | 1502 Liatris Ln, North Pole, AK 99705-5082 | 2019-08-01 |
1144880469 | Christopher Luke Jackson | Registered Nurse | 2177 N Brower St, Simi Valley, CA 93065-2447 | 2019-06-18 |
1427612480 | Christopher John Jackson | Registered Nurse | 8921 Harvey St, Livonia, MI 48150-3518 | 2019-04-25 |
1972009041 | Christopher Carl Jackson | Physical Therapist | 1230 Felice Cutoff Rd, Ragley, LA 70657-6645 | 2018-04-05 |
1538674312 | Christopher D. Jackson | Counselor | 165 Warner St, Rochester, NY 14606-1832 | 2017-12-03 |
1073980736 | Christopher G Jackson | Physical Therapist | 3143 Pelham Pkwy Ste 400, Pelham, AL 35124-6301 | 2015-08-28 |
1932442498 | Christopher Paul Jackson | Technician | 7821 Island Dr, Anchorage, AK 99504-2728 | 2013-04-03 |
1710229224 | Christopher Mitchell Jackson | Neurological Surgery | 600 N Wolfe St Tower 110, The Johns Hopkins Hospital, Baltimore, MD 21287-2109 | 2013-03-22 |
1417107947 | Christopher L Jackson | Acupuncturist | 7901 4th St N Ste 312, St Petersburg, FL 33702 | 2008-09-20 |
1841446416 | Christopher Paul Jackson | Physical Therapist | 1051 W Us Rt 6, Suite 400, Morris, IL 60450 | 2008-08-14 |
Street Address |
124 WREN WAY |
City | NEWARK |
State | DE |
Zip Code | 19711-8330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942826516 | Shondell White | Social Worker | 1423 Capitol Trail Road, Suite 1302, Newark, DE 19711 | 2020-06-19 |
1861024838 | Judith Benedict Pantalino | Counselor | 950 Library Avenue, Suite 104, Newark, DE 19711 | 2020-02-07 |
1942842935 | Lauren Barile | Social Worker | 2644 Kirkwood Highway #250, Newark, DE 19711 | 2019-10-11 |
1164993143 | Sandra Cooper, Rn, Lpcmh, LLC | Counselor | 2644 Kirkwood Hwy., Suite 320, Newark, DE 19711 | 2018-12-17 |
1568944999 | Body Brain Sync, Inc | Physical Medicine & Rehabilitation | 412 Capitol Trail, Newark, DE 19711 | 2018-09-01 |
1528550514 | Levin Andrew Tucker | Counselor | 1423 Capitol Trail Polly Drummond Plaza Bdg3, Newark, DE 19711 | 2018-06-05 |
1124515606 | Elizabeth Caccavone | Counselor | 1423 Capitol Trail Rd, Newark, DE 19711 | 2018-04-19 |
1366960924 | Bradley Hunter | Behavioral Analyst | 625 Barksdale Road Suite 113, Newark, DE 19711 | 2017-09-05 |
1720504905 | Tri-state Physicians Inc | Internal Medicine | 266 South College Ave, Newark, DE 19711 | 2017-08-18 |
1811427123 | Erin Cliffe | Social Worker | 3303 Drummond Plz, Newark, DE 19711 | 2017-06-19 |
Find all providers in zip 19711 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811504855 | Latasha Simmons | Massage Therapist | 106 N Munn Ave Apt 3, Newark, NJ 07106-1360 | 2020-09-24 |
1073129680 | Kimberly Sjockeia Smith-jones | Massage Therapist | 590 Irvine Turner Blvd, Newark, NJ 07112 | 2020-09-18 |
1851905590 | Mariella H Silva | Massage Therapist | Integrative Health, 201 Lyons Ave, Newark, NJ 07601-0760 | 2020-09-01 |
1801432406 | Maija Liisa Luttinger | Massage Therapist | 260 Chapman Rd Ste 100260, Newark, DE 19702-5490 | 2019-11-19 |
1538725767 | Kimberly Akerstrom | Massage Therapist | 503 Wise St, Newark, TX 76071-3828 | 2019-05-13 |
1124592530 | Adrian Caban | Massage Therapist | 90 Clinton Ave Apt 204, Newark, NJ 07114-2012 | 2019-01-18 |
1144793217 | Janielle Lobban | Massage Therapist | 1112 Ogletown Rd, Newark, DE 19711-5416 | 2019-01-10 |
1710457346 | Vikki Hatcher | Massage Therapist | 525 Lrvington Avenue Floor 2, Newark, NJ 07106 | 2018-11-27 |
1558848911 | Lynda Lou Duck | Massage Therapist | 145 Conn Dr, Newark, OH 43055-7930 | 2018-07-27 |
1780194167 | Kristine Virginia Heist | Massage Therapist | 16c Polly Drummond Hill Rd, Newark, DE 19711-5703 | 2017-10-11 |
Find all providers in NEWARK |
Please comment or provide details below to improve the information on MR. CHRISTOPHER AINSLEY NALLY JACKSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.