MS. RENEE JACKSON LMT NPI 1275047524

NPI Information

  • NPI: 1275047524
  • Provider Name: MS. RENEE JACKSON, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 9403 RUTHERGLEN DR
    DALLAS, TX
    ZIP 75227
  • Phone: (214) 738-4668

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NPI Details

MS. Renee Jackson, LMT is a massage therapist in Dallas, TX. 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. Renee Jackson, LMT NPI is 1275047524. 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:

9403 RUTHERGLEN DR
DALLAS, TX
ZIP 75227-764
Phone: (214) 738-4668

The enumeration date for this NPI number is 11/24/2017 and was last updated on 3/17/2018.

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 TherapistMT103060TEXASYes

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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