TONI M. JACKSON NCTMB NPI 1376871103

NPI Information

  • NPI: 1376871103
  • Provider Name: TONI M. JACKSON, NCTMB
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 4806 STATE ST
    HOME OFFICE
    EAST SAINT LOUIS, IL
    ZIP 62205
  • Phone: (618) 225-2777

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NPI Details

Toni M. Jackson, NCTMB is a massage therapist in East Saint Louis, IL. 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. Toni M. Jackson, NCTMB NPI is 1376871103. 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:

4806 STATE ST
HOME OFFICE
EAST SAINT LOUIS, IL
ZIP 62205-355
Phone: (618) 225-2777

The enumeration date for this NPI number is 12/7/2009 and was last updated on 2/25/2021.

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
1171000000XMilitary Health Care ProviderNo
2225400000XRehabilitation PractitionerNo
3226000000XRecreational Therapist AssistantNo
4226300000XKinesiotherapistNo
5225700000XMassage Therapist2005015267MISSOURIYes

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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