Individual provider · Type 1 NPI
Kim Jackson
Massage Therapist · Collegedale, TN
NPI number
1639966112
Active
Practice location
5020 University Dr.
Collegedale, TN 37315
Mailing address
2008 Tombras Ave
Chattanooga, TN 37412-2730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 6973 (TN) |
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 1639966112
Kim Jackson's National Provider Identifier is 1639966112, issued on Apr 21, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Collegedale, TN. The record was last updated on Apr 21, 2025.