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SHANETTE JACKSON
NPI 1073045050
Massage Therapist in Kenai, AK

Active since March 30, 2017
602 FRONTAGE ROAD, STE.206, KENAI, AK 99611(907) 416-8276 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shanette Jackson NPPES

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

SHANETTE JACKSON (NPI 1073045050) is an individual massage therapist in Kenai, Alaska, licensed in Alaska (128047) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1073045050
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSHANETTE JACKSON
Location Address602 FRONTAGE ROAD, STE.206Kenai, AK 99611
Mailing Address10672 Kenai Spur Hwy Ste 112Kenai, AK 99611-7868 · (907) 513-2467
Phone(907) 416-8276
Sole ProprietorYes
Enumeration DateMarch 30, 2017
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1073045050 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 AK · 128047
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.
602 FRONTAGE ROAD, STE.206, Kenai, AK 99611
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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 Shanette Jackson's NPI number?

The NPI number for Shanette Jackson is 1073045050. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Shanette Jackson located?

Shanette Jackson practices at 602 Frontage Road, Ste.206, Kenai, AK 99611. The listed phone number is (907) 416-8276.

What is Shanette 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 Shanette Jackson was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.