Individual provider · Type 1 NPI

Nicole Marie Jackson, CMT

Massage Therapist · Sacramento, CA

NPI number 1124614300 Active

Practice location

4728 Monument Dr
Sacramento, CA 95842-3612

Mailing address

PO Box 188904
Sacramento, CA 95818-8904

Specialties and licenses

TaxonomyCodeLicense
Health Educator 174H00000XNone listed
Massage Therapist Primary 225700000X80148 (CA)

Massage Therapist: 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.

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About NPI 1124614300

Nicole Marie Jackson, CMT's National Provider Identifier is 1124614300, issued on Dec 12, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sacramento, CA. The record was last updated on Dec 12, 2020.