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DAVID EDWARD JACKSON III C.M.T.
NPI 1275711350
Massage Therapist in Lake Station, IN

Active since January 31, 2008
3321 E 35TH AVE, LAKE STATION, IN 46405(219) 714-4100 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Edward Jackson Iii C.m.t. NPPES

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

DAVID EDWARD JACKSON III C.M.T. (NPI 1275711350) is an individual massage therapist in Lake Station, Indiana and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1275711350
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameDAVID EDWARD JACKSON IIICredential: C.M.T.
Location Address3321 E 35TH AVELake Station, IN 46405-3016
Mailing Address3321 E 35th AveLake Station, IN 46405-3016 · (219) 714-4100
Phone(219) 714-4100
Sole ProprietorYes
Enumeration DateJanuary 31, 2008
✔ NPI 1275711350 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
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.

3321 E 35TH AVE, Lake Station, IN 46405
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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 David Jackson's NPI number?

The NPI number for David Jackson is 1275711350. It was assigned to this individual provider in the NPPES registry on January 31, 2008.

Where is David Jackson located?

David Jackson practices at 3321 E 35th Ave, Lake Station, IN 46405. The listed phone number is (219) 714-4100.

What is David 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 David Jackson was last updated on January 31, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.