Maryah V Jackson, LMP is a
Health & Wellness Coach based in Kalispell, Montana. Maryah V Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
1001 S Main St # 8062, Kalispell, Montana. She can be reached at her office (for appointments etc.) via phone at
(406) 696-3908.
NPI number for Maryah V Jackson is 1205107828 and her current mailing address is 1001 S Main St # 8062, Kalispell, Montana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205107828.
Healthcare Provider's Profile
| Full Name | Maryah V Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Health & Wellness Coach |
|---|
| Location | 1001 S Main St # 8062, Kalispell, Montana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205107828
- Provider Enumeration Date: 01/13/2012
- Last Update Date: 04/08/2024
Medical Identifiers
Medical identifiers for Maryah V Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205107828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | 5952 (Montana) | Secondary |
| 225700000X | Massage Therapist | 18071 (Oregon) | Secondary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maryah V Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Maryah V Jackson, LMP 1001 S Main St # 8062, Kalispell, MT 59901-5635 Ph: (406) 696-3908 | Maryah V Jackson, LMP 1001 S Main St # 8062, Kalispell, MT 59901-5635 Ph: (406) 696-3908 |
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