Individual provider · Type 1 NPI

Mallary Jackson, LMT

Massage Therapist · Detroit, MI

NPI number 1851253702 Active

Practice location

18218 James Couzens Fwy
Detroit, MI 48235-2501

Call (313) 699-5301 Map

Mailing address

41470 E Archwood Dr Apt A134
Van Buren Township, MI 48111-4501

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X75010016559 (MI)

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 1851253702

Mallary Jackson, LMT's National Provider Identifier is 1851253702, issued on Dec 1, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Detroit, MI. The record was last updated on Dec 1, 2025.