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EBONY JADE JACKSON LMT
NPI 1295575355
Massage Therapist in Sumter, SC

Active since May 28, 2024
245 KINGSBURY DR, SUMTER, SC 29150(803) 406-3001 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ebony Jade Jackson Lmt NPPES

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

EBONY JADE JACKSON LMT (NPI 1295575355) is an individual massage therapist in Sumter, South Carolina, licensed in South Carolina (10030) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1295575355
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameEBONY JADE JACKSONCredential: LMT
Location Address245 KINGSBURY DRSumter, SC 29150-7547
Mailing Address245 Kingsbury DrSumter, SC 29150-7547 · (803) 406-3001
Phone(803) 406-3001
Sole ProprietorYes
Enumeration DateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1295575355 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 SC · 10030
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.
245 KINGSBURY DR, Sumter, SC 29150
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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 Ebony Jackson's NPI number?

The NPI number for Ebony Jackson is 1295575355. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Where is Ebony Jackson located?

Ebony Jackson practices at 245 Kingsbury Dr, Sumter, SC 29150. The listed phone number is (803) 406-3001.

What is Ebony 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 Ebony Jackson was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.