Individual provider · Type 1 NPI
Misty D. Jackson, MASSAGE THERAPIST
Massage Therapist · Huachuca City, AZ
NPI number
1154280758
Active
Practice location
1190 E Shadow Ln
Huachuca City, AZ 85616-8441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT-05655 (AZ) |
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.
About NPI 1154280758
Misty D. Jackson, MASSAGE THERAPIST's National Provider Identifier is 1154280758, issued on Jan 19, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Huachuca City, AZ. The record was last updated on Jan 19, 2026.