Individual provider · Type 1 NPI

Miranda Jacko

Massage Therapist · Lithonia, GA

NPI number 1740159656 Active

Practice location

7245 Rockbridge Rd Ste 600
Lithonia, GA 30058-8615

Call (470) 415-0471 Map

Mailing address

615 Oakview Trl
Stone Mountain, GA 30087-6611

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT015470 (GA)

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 1740159656

Miranda Jacko's National Provider Identifier is 1740159656, issued on Oct 30, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lithonia, GA. The record was last updated on Oct 30, 2025.