IndividualActive
Alexander Jackson-Matu, LMT
NPI 1073383204 · Massage Therapist · Richmond, VA
Provider details
- NPI number
- 1073383204
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- License
- 1261000096 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4906 Fitzhugh Ave Ste 100
Richmond, VA 23230-3520
Phone: (614) 378-2722
Approximate (ZIP-level) locationGet directions
Mailing address
3600 W Broad St Unit 331
Richmond, VA 23230-4945
Registry dates
- Enumerated
- 2024-01-08
- Last updated
- 2024-01-08
- Certified
- 2024-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.