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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6973 (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.