Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANETTE JACKSON
Active Sole ProprietorSHANETTE JACKSON is a Massage Therapist healthcare provider located in KENAI, Alaska. NPI 1073045050 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · KENAI, AK
Registration Details
- NPI Number
- 1073045050
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2017 (9.3397255334718 yrs)
- Last Updated
- Apr 15, 2025
- License
-
128047 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
602 FRONTAGE ROAD, STE.206KENAI, AK, 99611Browse AK providers · Browse ZIP 99611
- Phone
- 9074168276
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in KENAI, AK
| Name | Credential | NPI |
|---|---|---|
| DAVID EDWARDS-SMITH | LMT | 1972836674 |
| MRS. KAREN LORRAINE CARPENTER | MASSAGE THERAPIST | 1336494913 |
| ANGIE KAY WELLBORN | — | 1225484017 |
| DARREN GIBSON | — | 1134676638 |
| CHRISTINE G. MORIN | MASSAGE THERAPIST | 1003320060 |
| SAGE COLTER LINK | LMT | 1710485362 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.