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CALVIN JACKSON
NPI 1053701003
Massage Therapist in Monroe, WA

Active since January 29, 2015
101 E MAIN ST, STE 201, MONROE, WA 98272(360) 863-0642(360) 794-7236 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Calvin Jackson NPPES

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

CALVIN JACKSON (NPI 1053701003) is an individual massage therapist in Monroe, Washington, licensed in Washington (MA60431582) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1053701003
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameCALVIN JACKSON
Location Address101 E MAIN ST, STE 201Monroe, WA 98272-1519
Mailing AddressPo Box 14072Mill Creek, WA 98082-2072
Phone(360) 863-0642
Fax(360) 794-7236
Sole ProprietorYes
Enumeration DateJanuary 29, 2015
✔ NPI 1053701003 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 WA · MA60431582
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.
101 E MAIN ST, Monroe, WA 98272
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Other Providers at the Same Location NPPES 20

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

MR. DAVID SINCLAIR ROBISON LMP
Massage Therapist
101 E MAIN ST, 201
MONROE, WA 98272
Snohomish County (360) 863-0642
MR. GLYN DESMOND LMP
Massage Therapist
101 E MAIN ST, SUITE 201
MONROE, WA 98272
Snohomish County (360) 863-0642
MS. CHARLENE JEANETTE WAHL LMP
Massage Therapist
101 E MAIN ST, 201
MONROE, WA 98272
Snohomish County (360) 863-0642
SHERRY KARL LMP
Massage Therapist
101 E MAIN ST
MONROE, WA 98272
Snohomish County (425) 614-8542
CHRIS OFFICER LMP
Massage Therapist
101 E MAIN ST, #201
MONROE, WA 98272
Snohomish County (360) 863-0642
MRS. COLLEEN MICHELLE WOHLFORD LMP
Massage Therapist
101 E MAIN ST, SUITE 201
MONROE, WA 98272
Snohomish County (360) 863-0642
DWAINE JEFFREY BREED LMP
Massage Therapist
101 E MAIN ST, #201
MONROE, WA 98272
Snohomish County (360) 863-0642
MONROE THERAPEUTIC MASSAGE PS
Massage Therapist
101 E MAIN ST, STE 201
MONROE, WA 98272
Snohomish County (360) 863-0642

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 Calvin Jackson's NPI number?

The NPI number for Calvin Jackson is 1053701003. It was assigned to this individual provider in the NPPES registry on January 29, 2015.

Where is Calvin Jackson located?

Calvin Jackson practices at 101 E Main St Ste 201, Monroe, WA 98272. The listed phone number is (360) 863-0642.

What is Calvin Jackson'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 Calvin Jackson was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.