Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICKI ANGELYN JACKSON, LMT
ActiveNICKI ANGELYN JACKSON, LMT is a Massage Therapist healthcare provider located in OAK PARK, California. NPI 1164241345 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · OAK PARK, CA
Registration Details
- NPI Number
- 1164241345
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2024 (1.8482700405076 yrs)
- Last Updated
- Oct 7, 2024
- License
-
29417 (MT)
Practice Information
- Address
-
5816 FREEBIRD LN UNIT 108OAK PARK, CA, 913775635Browse CA providers · Browse ZIP 91377
- Phone
- 3106008163
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in OAK PARK, CA
| Name | Credential | NPI |
|---|---|---|
| ROBERT KELLY BUSH | BCTMB | 1366834848 |
| MR. BERNHARD STASCHIK | CMT | 1063006096 |
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.