Individual provider · Type 1 NPI

Kevin Jackson

Massage Therapist · Black Mountain, NC

NPI number 1407770043 Active

Practice location

106 S Ridgeway Ave
Black Mountain, NC 28711-3511

Call (828) 674-6188 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X23270 (NC)

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 1407770043

Kevin Jackson's National Provider Identifier is 1407770043, issued on Aug 6, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Black Mountain, NC. The record was last updated on Aug 6, 2026.