JACKLYN JOAN-MARIE HANSEN NPI 1386599181

NPI Information

  • NPI: 1386599181
  • Provider Name: JACKLYN JOAN-MARIE HANSEN
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 831 N PONTIAC TRL LOT 70
    WALLED LAKE, MI
    ZIP 48390
  • Phone: (313) 633-4974

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NPI Details

Jacklyn Joan-marie Hansen is a massage therapist in Walled Lake, MI. 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. Jacklyn Joan-marie Hansen NPI is 1386599181. 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:

831 N PONTIAC TRL LOT 70
WALLED LAKE, MI
ZIP 48390-206
Phone: (313) 633-4974

The enumeration date for this NPI number is 2/27/2026 and was last updated on 2/27/2026.

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 Therapist7501016862MICHIGANYes

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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