KELLI JACKSON LMT
NPI 1053769851
Massage Therapist in Beverly, MA
About Kelli Jackson Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI JACKSON LMT (NPI 1053769851) is an individual massage therapist in Beverly, Massachusetts, licensed in Massachusetts (4166) and active in the NPI registry since June 2016.
NPPES Registry Identity
Specialties & Licenses
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 Kelli Jackson's NPI number?
The NPI number for Kelli Jackson is 1053769851. It was assigned to this individual provider in the NPPES registry on June 2, 2016.
Where is Kelli Jackson located?
Kelli Jackson practices at 48R Enon St., Beverly, MA 01915. The listed phone number is (978) 828-8468.
What is Kelli 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 Kelli Jackson was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kelli Jackson, LMT · NPI 1053769851
Massage Therapist provider in Beverly, Massachusetts. Individual provider, active in the CMS NPPES registry since June 2, 2016.
## Identity
- **NPI:** 1053769851 (Entity type: Individual)
- **Enumerated:** June 2, 2016
- **Primary specialty:** Massage Therapist · taxonomy 225700000X
- **State license:** 4166 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 48R ENON ST., Beverly, MA 01915-1116
- **Phone:** (978) 828-8468
## Record status
- **NPPES last updated:** June 2, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1053769851) · Data from the CMS NPPES public registry.