JACKIE WILSON LMT
NPI 1356628325
Massage Therapist in Denham Springs, LA

Q: What is Jackie Wilson's NPI number?

The NPI number for Jackie Wilson is 1356628325. It was assigned to this individual provider in the NPPES registry on November 4, 2011.

Q: What is Jackie Wilson's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Wilson was last updated on November 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since November 04, 2011

1019 N RANGE AVE, SUITE B, DENHAM SPRINGS, LA 70726(225) 791-8154(225) 791-8152 Get Directions Write a Review

NPPES record last updated: November 4, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jackie Wilson Lmt NPPES

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

JACKIE WILSON LMT (NPI 1356628325) is an individual massage therapist in Denham Springs, Louisiana, licensed in Louisiana (1169) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1356628325

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameJACKIE WILSONCredential: LMT

Location Address1019 N RANGE AVE, SUITE BDenham Springs, LA 70726-2407

Mailing Address1019 N Range Ave, Suite BDenham Springs, LA 70726-2407 · (225) 791-8154 · Fax (225) 791-8152

Phone(225) 791-8154

Fax(225) 791-8152

Sole ProprietorYes

Enumeration DateNovember 4, 2011

✔ NPI 1356628325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in LA · 1169

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.

Also ListedReflexologistTaxonomy 173C00000X · License 1169 (LA)

1019 N RANGE AVE, Denham Springs, LA 70726

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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 Jackie Wilson's NPI number?

The NPI number for Jackie Wilson is 1356628325. It was assigned to this individual provider in the NPPES registry on November 4, 2011.

Where is Jackie Wilson located?

Jackie Wilson practices at 1019 N Range Ave Suite B, Denham Springs, LA 70726. The listed phone number is (225) 791-8154.

What is Jackie Wilson'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 Jackie Wilson was last updated on November 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.