Provider Demographics
NPI:1336943851
Name:JACKSON-DAY, SUZETTE DA'MONICA (LMT)
Entity type:Individual
Prefix:
First Name:SUZETTE
Middle Name:DA'MONICA
Last Name:JACKSON-DAY
Suffix:
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3587 E 154TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-5167
Mailing Address - Country:US
Mailing Address - Phone:216-972-6888
Mailing Address - Fax:
Practice Address - Street 1:3587 E 154TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-5167
Practice Address - Country:US
Practice Address - Phone:216-972-6888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist