Individual provider · Type 1 NPI

Melody Jackson

Massage Therapist · Lilburn, GA

NPI number 1891676961 Active

Practice location

909 Indian Lake Dr NW
Lilburn, GA 30047-6807

Call (770) 990-6065 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT010006 (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 1891676961

Melody Jackson's National Provider Identifier is 1891676961, issued on Sep 8, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lilburn, GA. The record was last updated on Sep 8, 2025.