Individual provider · Type 1 NPI

Steven John Jackson, LMT

Massage Therapist · Pomeroy, WA

NPI number 1255224960 Active

Practice location

256 13th St
Pomeroy, WA 99347-1301

Mailing address

PO Box 887
Pomeroy, WA 99347-0887

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMA61679087 (WA)
Massage Therapist Primary 225700000X2171967 (ID)

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 1255224960

Steven John Jackson, LMT's National Provider Identifier is 1255224960, issued on Jun 2, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pomeroy, WA. The record was last updated on Jun 2, 2025.