TONI M. JACKSON NCTMB
NPI 1376871103
Massage Therapist in East Saint Louis, IL

Active since December 07, 2009
4806 STATE ST, HOME OFFICE, EAST SAINT LOUIS, IL 62205(618) 225-2777 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Toni M. Jackson Nctmb NPPES

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

TONI M. JACKSON NCTMB (NPI 1376871103) is an individual massage therapist in East Saint Louis, Illinois, licensed in Missouri (2005015267) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1376871103
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameTONI M. JACKSONCredential: NCTMB
Location Address4806 STATE ST, HOME OFFICEEast Saint Louis, IL 62205-1355
Mailing Address4806 State St, Home OfficeEast Saint Louis, IL 62205-1355 · (618) 271-6247
Sole ProprietorNo
Enumeration DateDecember 7, 2009
Last NPPES UpdateFebruary 25, 2021
NPPES CertifiedFebruary 25, 2021
NPI 1376871103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in MO · 2005015267
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 ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedRehabilitation PractitionerTaxonomy 225400000X
Also ListedRecreational Therapist AssistantTaxonomy 226000000X
Also ListedKinesiotherapistTaxonomy 226300000X
4806 STATE ST, East Saint Louis, IL 62205

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 Toni Jackson's NPI number?

The NPI number for Toni Jackson is 1376871103. It was assigned to this individual provider in the NPPES registry on December 7, 2009.

Where is Toni Jackson located?

Toni Jackson practices at 4806 State St Home Office, East Saint Louis, IL 62205. The listed phone number is (618) 225-2777.

What is Toni 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 Toni Jackson was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.