1. Home
  2. Directory
  3. Maine
  4. Portland
  5. Specialist
  6. NPI Profile

MS. ELIZABETH A JACKSON LIC. MASSAGE THERAPI
NPI 1104091784
Specialist in Portland, ME

Active since April 24, 2008
94 AUBURN ST STE 106, PORTLAND, ME 04103(207) 878-3003(207) 878-3004 Get Directions Write a Review

NPPES record last updated: December 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Elizabeth A Jackson Lic. Massage Therapi NPPES

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

MS. ELIZABETH A JACKSON LIC. MASSAGE THERAPI (NPI 1104091784) is an individual specialist in Portland, Maine, licensed in Maine (MT3127) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1104091784
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. ELIZABETH A JACKSONCredential: LIC. MASSAGE THERAPI
Location Address94 AUBURN ST STE 106Portland, ME 04103-2141
Mailing Address94 Auburn St, Suite 106Portland, ME 04103-2141 · (207) 878-3003 · Fax (207) 878-3004
Phone(207) 878-3003
Fax(207) 878-3004
Sole ProprietorYes
Enumeration DateApril 24, 2008
Last NPPES UpdateDecember 8, 2008
✔ NPI 1104091784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ME · MT3127
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.
94 AUBURN ST STE 106, Portland, ME 04103
Open in Google Maps ↗

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 Elizabeth Jackson's NPI number?

The NPI number for Elizabeth Jackson is 1104091784. It was assigned to this individual provider in the NPPES registry on April 24, 2008.

Where is Elizabeth Jackson located?

Elizabeth Jackson practices at 94 Auburn St Ste 106, Portland, ME 04103. The listed phone number is (207) 878-3003.

What is Elizabeth Jackson'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 Elizabeth Jackson was last updated on December 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.