Individual provider · Type 1 NPI
Desirae Jackson
Massage Therapist · Scottsdale, AZ
NPI number
1720923741
Active
Practice location
23150 N Pima Rd Ste 19
Scottsdale, AZ 85255-4334
Mailing address
15850 N Thompson Peak Pkwy Apt 2075
Scottsdale, AZ 85260-2147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 24258 (AZ) |
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 1720923741
Desirae Jackson's National Provider Identifier is 1720923741, issued on Apr 23, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Scottsdale, AZ. The record was last updated on Apr 23, 2026.