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MISS IDA OLIVIA JACKSON LAC, LMT
NPI 1184022659
Acupuncturist in Kirkwood, MO

Active since December 15, 2014
103 N TAYLOR AVE, SUITE B, KIRKWOOD, MO 63122(314) 623-2302 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Ida Olivia Jackson Lac, Lmt NPPES

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

MISS IDA OLIVIA JACKSON LAC, LMT (NPI 1184022659) is an individual acupuncturist in Kirkwood, Missouri, licensed in Missouri (2013032932) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1184022659
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameMISS IDA OLIVIA JACKSONCredential: LAC, LMT
Location Address103 N TAYLOR AVE, SUITE BKirkwood, MO 63122-4360
Mailing Address103 N Taylor Ave, Suite BKirkwood, MO 63122-4360 · (314) 623-2302
Phone(314) 623-2302
Sole ProprietorNo
Enumeration DateDecember 15, 2014
✔ NPI 1184022659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in MO · 2013032932
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
103 N TAYLOR AVE, Kirkwood, MO 63122
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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.

MORGANNE LACEY
Dentist (General Practice)
103 N TAYLOR AVE
KIRKWOOD, MO 63122
St. Louis County (314) 821-4100

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 Ida Olivia Jackson's NPI number?

The NPI number for Ida Olivia Jackson is 1184022659. It was assigned to this individual provider in the NPPES registry on December 15, 2014.

Where is Ida Olivia Jackson located?

Ida Olivia Jackson practices at 103 N Taylor Ave Suite B, Kirkwood, MO 63122. The listed phone number is (314) 623-2302.

What is Ida Olivia Jackson's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Ida Olivia Jackson was last updated on December 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.