JACKIE WILSON LMT NPI 1356628325

NPI Information

  • NPI: 1356628325
  • Provider Name: JACKIE WILSON, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 1019 N RANGE AVE
    SUITE B
    DENHAM SPRINGS, LA
    ZIP 70726
  • Phone: (225) 791-8154

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NPI Details

Jackie Wilson, LMT is a massage therapist in Denham Springs, LA. 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. Jackie Wilson, LMT NPI is 1356628325. 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:

1019 N RANGE AVE
SUITE B
DENHAM SPRINGS, LA
ZIP 70726-407
Phone: (225) 791-8154
Fax: (225) 791-8152

The enumeration date for this NPI number is 11/4/2011 and was last updated on 11/4/2011.

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
1173C00000XReflexologist1169LOUISIANANo
2225700000XMassage Therapist1169LOUISIANAYes

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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