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JESSICA JACKSON LMT
NPI 1174247720
Massage Therapist in Rome, NY

Active since September 28, 2022
1721 BLACK RIVER BLVD N, ROME, NY 13440(315) 886-2200 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jessica Jackson Lmt NPPES

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

JESSICA JACKSON LMT (NPI 1174247720) is an individual massage therapist in Rome, New York, licensed in New York (021088) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1174247720
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJESSICA JACKSONCredential: LMT
Location Address1721 BLACK RIVER BLVD NRome, NY 13440-2447
Mailing Address1721 Black River Blvd NRome, NY 13440-2447 · (315) 886-2200
Phone(315) 886-2200
Sole ProprietorYes
Enumeration DateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
✔ NPI 1174247720 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 NY · 021088
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.

1721 BLACK RIVER BLVD N, Rome, NY 13440
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Other Providers at the Same Location NPPES

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

GREAT VIEW INC
Eyewear Supplier
1721 BLACK RIVER BLVD N
ROME, NY 13440
Oneida County (315) 337-5367

Frequently Asked Questions

What is Jessica Jackson's NPI number?

The NPI number assigned to this healthcare provider is 1174247720, enumerated as an "individual" on September 28, 2022.

Where is the provider located?

The provider is located at 1721 BLACK RIVER BLVD N ROME, NY 13440 and the phone number is (315) 886-2200.

What is the provider's specialty?

Massage Therapist with taxonomy code 225700000X.