Individual provider · Type 1 NPI
Jacklyn Joan-Marie Hansen
Massage Therapist · Walled Lake, MI
NPI number
1386599181
Active
Practice location
831 N Pontiac Trl Lot 70
Walled Lake, MI 48390-3206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7501016862 (MI) |
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.
Another provider at this address
Other massage therapist providers in Walled Lake
About NPI 1386599181
Jacklyn Joan-Marie Hansen's National Provider Identifier is 1386599181, issued on Feb 27, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Walled Lake, MI. The record was last updated on Feb 27, 2026.