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MISS NAKITA R JACK LMT
NPI 1033865340
Massage Therapist in Hayden, ID

Active since February 24, 2022
9751 N GOVERNMENT WAY STE 4, HAYDEN, ID 83835(208) 696-1330(208) 684-7834 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Nakita R Jack Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS NAKITA R JACK LMT (NPI 1033865340) is an individual massage therapist in Hayden, Idaho, licensed in Idaho (MAS3883) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1033865340
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMISS NAKITA R JACKCredential: LMT
Location Address9751 N GOVERNMENT WAY STE 4Hayden, ID 83835-9645
Mailing Address9751 N Government Way Ste 4Hayden, ID 83835-9645 · (208) 696-1330 · Fax (208) 684-7834
Phone(208) 696-1330
Fax(208) 684-7834
Sole ProprietorNo
Enumeration DateFebruary 24, 2022
NPPES CertifiedFebruary 24, 2022
✔ NPI 1033865340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in ID · MAS3883
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
9751 N GOVERNMENT WAY STE 4, Hayden, ID 83835
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOOD VOODOO, LLC
Massage Therapist
9751 N GOVERNMENT WAY STE 4
HAYDEN, ID 83835
Kootenai County (208) 696-1300
SIMONE PARAS LMT
Massage Therapist
9751 N GOVERNMENT WAY STE 4
HAYDEN, ID 83835
Kootenai County (208) 696-1330
SARAH ANDERSON DIGRE LMT
Massage Therapist
9751 N GOVERNMENT WAY STE 4
HAYDEN, ID 83835
Kootenai County (208) 696-1300
KIMBERLY KAY ENDRES LMT
Massage Therapist
9751 N GOVERNMENT WAY STE 4
HAYDEN, ID 83835
Kootenai County (208) 696-1330
ASHLEY LYNN WHITEHEAD LMT
Massage Therapist
9751 N GOVERNMENT WAY STE 4
HAYDEN, ID 83835
Kootenai County (208) 696-1330
KEEVA BETH ROSSOW LMT
Massage Therapist
9751 N GOVERNMENT WAY STE 4
HAYDEN, ID 83835
Kootenai County (208) 696-1330
DANIELLE DANA LMT
Massage Therapist
9751 N GOVERNMENT WAY STE 4
HAYDEN, ID 83835
Kootenai County (208) 696-1330
I AM BREATH HOLISTIC WELLNESS
Massage Therapist
9751 N GOVERNMENT WAY STE 4
HAYDEN, ID 83835
Kootenai County (208) 797-2686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nakita Jack's NPI number?

The NPI number for Nakita Jack is 1033865340. It was assigned to this individual provider in the NPPES registry on February 24, 2022.

Where is Nakita Jack located?

Nakita Jack practices at 9751 N Government Way Ste 4, Hayden, ID 83835. The listed phone number is (208) 696-1330.

What is Nakita Jack's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Nakita Jack was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.