MASSAGE REVOLUTION
NPI 1053754580
Specialist in Jackson, MS

Active since April 15, 2013
210 E CAPITOL ST, STE M-142, JACKSON, MS 39201(601) 918-1853 Get Directions Write a Review

NPPES record last updated: April 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Massage Revolution NPPES

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

MASSAGE REVOLUTION (NPI 1053754580) is a healthcare organization registered as a specialist in Jackson, Mississippi and active in the NPI registry since April 2013. The organization lists Laura Manning, Partner/owner, as its authorized official.

NPPES Registry Identity

NPI1053754580
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMASSAGE REVOLUTION
Location Address210 E CAPITOL ST, STE M-142Jackson, MS 39201-2306
Mailing Address210 E Capitol St Ste M-142Jackson, MS 39201-2306 · (601) 918-1853
Organization SubpartNo
Authorized OfficialLaura ManningPartner/owner · (601) 918-1853
Enumeration DateApril 15, 2013
NPI 1053754580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MS · LMT 2025
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
210 E CAPITOL ST, Jackson, MS 39201

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Massage Therapist
210 E CAPITOL ST, SUITE M-142
JACKSON, MS 39201

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 Massage Revolution's NPI number?

The NPI number for Massage Revolution is 1053754580. It was assigned to this organization in the NPPES registry on April 15, 2013.

Where is Massage Revolution located?

Massage Revolution is located at 210 E Capitol St Ste M-142, Jackson, MS 39201. The listed phone number is (601) 918-1853.

What is Massage Revolution's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Massage Revolution was last updated on April 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.