KELLI JACKSON LMT NPI 1053769851

NPI Information

  • NPI: 1053769851
  • Provider Name: KELLI JACKSON, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 48R ENON ST.
    BEVERLY, MA
    ZIP 01915
  • Phone: (978) 828-8468

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NPI Details

Kelli Jackson, LMT is a massage therapist in Beverly, MA. 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. Kelli Jackson, LMT NPI is 1053769851. 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:

48R ENON ST.
BEVERLY, MA
ZIP 01915-116
Phone: (978) 828-8468

The enumeration date for this NPI number is 6/2/2016 and was last updated on 6/2/2016.

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
1225700000XMassage Therapist4166MASSACHUSETTSYes

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: 11/21/2025

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