MS. NICOLE MARIE JACKSON CMT NPI 1124614300

NPI Information

NPI: 1124614300
Provider Name: MS. NICOLE MARIE JACKSON, CMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
4728 MONUMENT DR
SACRAMENTO, CA
ZIP 95842
Phone: (916) 420-4306
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MS. Nicole Marie Jackson, CMT is a massage therapist in Sacramento, CA. The provider is 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. MS. Nicole Marie Jackson, CMT NPI is 1124614300. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4728 MONUMENT DR
SACRAMENTO, CA
ZIP 95842-612
Phone: (916) 420-4306

The enumeration date for this NPI number is 12/12/2020 and was last updated on 12/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174H00000X	Health Educator			CALIFORNIA	No
2	225700000X	Massage Therapist		80148	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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