Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KODI JACKSON, LMT
Active Sole ProprietorKODI JACKSON, LMT is a Massage Therapist healthcare provider located in CIBOLO, Texas. NPI 1710562863 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · CIBOLO, TX
Registration Details
- NPI Number
- 1710562863
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 10, 2021 (5.3900142648195 yrs)
- Last Updated
- Mar 10, 2021
- License
-
MT127777 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
248 KIPPER AVECIBOLO, TX, 781084324Browse TX providers · Browse ZIP 78108
- Phone
- 2103157510
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in CIBOLO, TX
| Name | Credential | NPI |
|---|---|---|
| TARYN MARIE ANDERSON | LMT | 1407445406 |
| KRISTINA SHIPP | LMT, MTI | 1528777083 |
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.