Individual provider · Type 1 NPI
Heather Jackson, LBMT
Massage Therapist · Southern Pines, NC
NPI number
1912872946
Active
Practice location
575 SE Broad St Ste 7
Southern Pines, NC 28387-6046
Mailing address
PO Box 1355
Carthage, NC 28327-1355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 20903 (NC) |
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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- Dustin J. Donahue, LMBT #4824Massage Therapist Southern Pines, NC NPI 1104412261
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- Michele Santiago, LMBTMassage Therapist Southern Pines, NC NPI 1386000628
- Kathleen Michelle WallaceMassage Therapist Southern Pines, NC NPI 1386441822
- Katelyn Denise Ettinger, LMBTMassage Therapist Southern Pines, NC NPI 1407677313
- Kristie Hanshew, LMTMassage Therapist Southern Pines, NC NPI 1427922525
About NPI 1912872946
Heather Jackson, LBMT's National Provider Identifier is 1912872946, issued on Oct 8, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Southern Pines, NC. The record was last updated on Oct 8, 2025.