Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM JACKSON
Active Sole ProprietorKIM JACKSON is a Massage Therapist healthcare provider located in COLLEGEDALE, Tennessee. NPI 1639966112 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · COLLEGEDALE, TN
Registration Details
- NPI Number
- 1639966112
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 21, 2025 (1.3138672472084 yrs)
- Last Updated
- Apr 21, 2025
- License
-
6973 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5020 UNIVERSITY DR.COLLEGEDALE, TN, 37315Browse TN providers · Browse ZIP 37315
- Phone
- 4233962100
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in COLLEGEDALE, TN
| Name | Credential | NPI |
|---|---|---|
| ANGELA D HONACKIE | LMT, RYT | 1710501176 |
| AMBER ROSE TAYLOR | — | 1114797644 |
| ANNA MARIE MITCHELL | LMT | 1679313894 |
| SILVANA FERREIRA HARTNER | — | 1033071659 |
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.