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STEPHANE LEA JACKSON LMT, CCT
NPI 1255955464
Massage Therapist in Atlanta, GA

Active since June 03, 2020
1770 OLD SPRING HOUSE LN STE 114, ATLANTA, GA 30338(770) 806-9048 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephane Lea Jackson Lmt, Cct NPPES

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

STEPHANE LEA JACKSON LMT, CCT (NPI 1255955464) is an individual massage therapist in Atlanta, Georgia, licensed in Georgia (MT007289) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1255955464
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSTEPHANE LEA JACKSONCredential: LMT, CCT
Location Address1770 OLD SPRING HOUSE LN STE 114Atlanta, GA 30338-6213
Mailing Address1770 Old Spring House Ln Ste 114Atlanta, GA 30338-6213 · (770) 806-9048
Phone(770) 806-9048
Sole ProprietorYes
Enumeration DateJune 3, 2020
NPPES CertifiedJune 3, 2020
✔ NPI 1255955464 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 GA · MT007289
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.
1770 OLD SPRING HOUSE LN STE 114, Atlanta, GA 30338
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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 Stephane Jackson's NPI number?

The NPI number for Stephane Jackson is 1255955464. It was assigned to this individual provider in the NPPES registry on June 3, 2020.

Where is Stephane Jackson located?

Stephane Jackson practices at 1770 Old Spring House Ln Ste 114, Atlanta, GA 30338. The listed phone number is (770) 806-9048.

What is Stephane 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 Stephane Jackson was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.