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PHYLISS L JACKSON LCMT,HE
NPI 1326672494
Massage Therapist in Roseville, CA

Active since February 27, 2020
1 ADVENTIST HEALTH WAY, ROSEVILLE, CA 95661(916) 406-0177 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phyliss L Jackson Lcmt,he NPPES

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

PHYLISS L JACKSON LCMT,HE (NPI 1326672494) is an individual massage therapist in Roseville, California, licensed in California (80744) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1326672494
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NamePHYLISS L JACKSONCredential: LCMT,HE
Location Address1 ADVENTIST HEALTH WAYRoseville, CA 95661-3266
Mailing Address2201 Arena Blvd Apt 7106Sacramento, CA 95834-7940 · (916) 706-9892
Phone(916) 406-0177
Sole ProprietorYes
Enumeration DateFebruary 27, 2020
✔ NPI 1326672494 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 CA · 80744
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.
1 ADVENTIST HEALTH WAY, Roseville, CA 95661
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Other Identifiers 1

MedicaidB4915041CA

Other Providers at the Same Location NPPES 13

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

RAMIN RAJI
Student in an Organized Health Care Education/Training Program
1 ADVENTIST HEALTH WAY
ROSEVILLE, CA 95661
Placer County (559) 362-2413
NAOMI WU PHARMD
Pharmacist
1 ADVENTIST HEALTH WAY
ROSEVILLE, CA 95661
Placer County (916) 496-2544
ADVENTIST HEALTH SYSTEM / WEST
Religious Nonmedical Health Care Institution
1 ADVENTIST HEALTH WAY
ROSEVILLE, CA 95661
Placer County (916) 406-0000
NAKISA SEDAGHATI
Pharmacist
1 ADVENTIST HEALTH WAY
ROSEVILLE, CA 95661
Placer County (916) 406-0188
NUTHANA NAIDOO PHARMD., BCOP
Pharmacist
1 ADVENTIST HEALTH WAY
ROSEVILLE, CA 95661
Placer County (916) 402-1192
ERIC MYERS PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1 ADVENTIST HEALTH WAY
ROSEVILLE, CA 95661
Placer County (916) 406-0000
ADVENTIST HEALTH OUTPATIENT PHARMACY SERVICES, LLC
Pharmacy
1 ADVENTIST HEALTH WAY
ROSEVILLE, CA 95661
Placer County (916) 406-0188
ADVENTIST HEALTH CARE NETWORK, INC.
Clinic/Center (Multi-Specialty)
1 ADVENTIST HEALTH WAY
ROSEVILLE, CA 95661
Placer County (916) 406-0000

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 Phyliss Jackson's NPI number?

The NPI number for Phyliss Jackson is 1326672494. It was assigned to this individual provider in the NPPES registry on February 27, 2020.

Where is Phyliss Jackson located?

Phyliss Jackson practices at 1 Adventist Health Way, Roseville, CA 95661. The listed phone number is (916) 406-0177.

What is Phyliss 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 Phyliss Jackson was last updated on February 27, 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.