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

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: July 19, 2026.

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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Other Providers at the Same Location NPPES

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

AMY GREGOIRE M.A., BCBA, LBA
Behavior Analyst
1019 N RANGE AVE
DENHAM SPRINGS, LA 70726
Livingston Parish (225) 791-0617

Frequently Asked Questions

What is Jackie Wilson's NPI number?

The NPI number assigned to this healthcare provider is 1356628325, enumerated as an "individual" on November 04, 2011.

Where is the provider located?

The provider is located at 1019 N RANGE AVE SUITE B DENHAM SPRINGS, LA 70726 and the phone number is (225) 791-8154.

What is the provider's specialty?

Massage Therapist with taxonomy code 225700000X.