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MS. NICOLE MARIE JACKSON CMT
NPI 1124614300
Massage Therapist in Sacramento, CA

Active since December 12, 2020
4728 MONUMENT DR, SACRAMENTO, CA 95842(916) 420-4306 Get Directions Write a Review

NPPES record last updated: December 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Nicole Marie Jackson Cmt NPPES

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

MS. NICOLE MARIE JACKSON CMT (NPI 1124614300) is an individual massage therapist in Sacramento, California, licensed in California (80148) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1124614300
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMS. NICOLE MARIE JACKSONCredential: CMT
Location Address4728 MONUMENT DRSacramento, CA 95842-3612
Mailing AddressPo Box 188904Sacramento, CA 95818-8904 · (916) 420-4306
Phone(916) 420-4306
Sole ProprietorYes
Enumeration DateDecember 12, 2020
NPPES CertifiedDecember 12, 2020
✔ NPI 1124614300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CA · 80148
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.
Also ListedHealth EducatorTaxonomy 174H00000X
4728 MONUMENT DR, Sacramento, CA 95842
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Other Names 1

Professional Name (2)Nicole Jackson

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 Nicole Jackson's NPI number?

The NPI number for Nicole Jackson is 1124614300. It was assigned to this individual provider in the NPPES registry on December 12, 2020.

Where is Nicole Jackson located?

Nicole Jackson practices at 4728 Monument Dr, Sacramento, CA 95842. The listed phone number is (916) 420-4306.

What is Nicole 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 Nicole Jackson was last updated on December 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.