Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISTY D JACKSON, MASSAGE THERAPIST
Active Sole ProprietorMISTY D JACKSON, MASSAGE THERAPIST is a Massage Therapist healthcare provider located in HUACHUCA CITY, Arizona. NPI 1154280758 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · HUACHUCA CITY, AZ
Registration Details
- NPI Number
- 1154280758
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2026 (0.52781986979157 yrs)
- Last Updated
- Jan 19, 2026
- License
-
MT-05655 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1190 E SHADOW LNHUACHUCA CITY, AZ, 856168441Browse AZ providers · Browse ZIP 85616
- Phone
- 5205594600
- Primary Specialty
-
Massage Therapist
225700000X
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.