THERESA JACKSON
NPI 1093280422
Massage Therapist in Minneapolis, MN

Active since October 12, 2018
3647 CEDAR AVE S, MINNEAPOLIS, MN 55407(612) 728-0223 Get Directions Write a Review

NPPES record last updated: October 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theresa Jackson NPPES

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

THERESA JACKSON (NPI 1093280422) is an individual massage therapist in Minneapolis, Minnesota and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1093280422
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameTHERESA JACKSON
Location Address3647 CEDAR AVE SMinneapolis, MN 55407-2919
Mailing Address10820 S Shore Dr Apt 13Plymouth, MN 55441-4970 · (612) 242-9536
Sole ProprietorNo
Enumeration DateOctober 12, 2018
NPI 1093280422 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
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.
3647 CEDAR AVE S, Minneapolis, MN 55407

Other Providers at the Same Location NPPES 13

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

Massage Therapist
3647 CEDAR AVE S
MINNEAPOLIS, MN 55407
Chiropractor
3647 CEDAR AVE S
MINNEAPOLIS, MN 55407
Massage Therapist
3647 CEDAR AVE S
MINNEAPOLIS, MN 55407
Massage Therapist
3647 CEDAR AVE S
MINNEAPOLIS, MN 55407
Massage Therapist
3647 CEDAR AVE S
MINNEAPOLIS, MN 55407
Chiropractor
3647 CEDAR AVE S
MINNEAPOLIS, MN 55407
Massage Therapist
3647 CEDAR AVE S
MINNEAPOLIS, MN 55407
Chiropractor
3647 CEDAR AVE S
MINNEAPOLIS, MN 55407

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 Theresa Jackson's NPI number?

The NPI number for Theresa Jackson is 1093280422. It was assigned to this individual provider in the NPPES registry on October 12, 2018.

Where is Theresa Jackson located?

Theresa Jackson practices at 3647 Cedar Ave S, Minneapolis, MN 55407. The listed phone number is (612) 728-0223.

What is Theresa 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 Theresa Jackson was last updated on October 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.