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TREVOR BRANDON JACKSON MT
NPI 1356003552
Massage Therapist in Columbia, SC

Active since October 06, 2021
1631 MAIN ST COLUMBIA SC, COLUMBIA, SC 29223(803) 310-2793 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trevor Brandon Jackson Mt NPPES

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

TREVOR BRANDON JACKSON MT (NPI 1356003552) is an individual massage therapist in Columbia, South Carolina, licensed in South Carolina (10033) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1356003552
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameTREVOR BRANDON JACKSONCredential: MT
Location Address1631 MAIN ST COLUMBIA SCColumbia, SC 29223
Mailing Address8117 Springflower RoadColumbia, SC 29223 · (254) 462-3790
Phone(803) 310-2793
Sole ProprietorNo
Enumeration DateOctober 6, 2021
NPPES CertifiedSeptember 22, 2021
✔ NPI 1356003552 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 · 10033
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.
1631 MAIN ST COLUMBIA SC, Columbia, SC 29223
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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 Trevor Jackson's NPI number?

The NPI number for Trevor Jackson is 1356003552. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Trevor Jackson located?

Trevor Jackson practices at 1631 Main St Columbia Sc, Columbia, SC 29223. The listed phone number is (803) 310-2793.

What is Trevor 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 Trevor Jackson was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.