IndividualActive
Jacqueline Short
NPI 1902306178 · Massage Therapist · Council Bluffs, IA
Provider details
- NPI number
- 1902306178
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3632 (NE)
Mailing address
3464 Ave a
Council Bluffs, IA 51501-1817
Registry dates
- Enumerated
- 2018-02-14
- Last updated
- 2018-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.