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NICKI ANGELYN JACKSON LMT
NPI 1164241345
Massage Therapist in Oak Park, CA

Active since October 07, 2024
5816 FREEBIRD LN UNIT 108, OAK PARK, CA 91377(310) 600-8163 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Nicki Angelyn Jackson Lmt NPPES

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

NICKI ANGELYN JACKSON LMT (NPI 1164241345) is an individual massage therapist in Oak Park, California, licensed in Montana (29417) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1164241345
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameNICKI ANGELYN JACKSONCredential: LMT
Location Address5816 FREEBIRD LN UNIT 108Oak Park, CA 91377-5635
Mailing Address5816 Freebird Ln Unit 108Oak Park, CA 91377-5635 · (310) 600-8163
Phone(310) 600-8163
Sole ProprietorNo
Enumeration DateOctober 7, 2024
NPPES CertifiedSeptember 17, 2024
✔ NPI 1164241345 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 MT · 29417
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.
5816 FREEBIRD LN UNIT 108, Oak Park, CA 91377
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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 Nicki Jackson's NPI number?

The NPI number for Nicki Jackson is 1164241345. It was assigned to this individual provider in the NPPES registry on October 7, 2024.

Where is Nicki Jackson located?

Nicki Jackson practices at 5816 Freebird Ln Unit 108, Oak Park, CA 91377. The listed phone number is (310) 600-8163.

What is Nicki 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 Nicki Jackson was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.