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KELLY JACKSON LMT
NPI 1497108310
Massage Therapist in Jacksonville, FL

Active since July 15, 2016
1325 SAN MARCO BLVD, SUITE 102, JACKSONVILLE, FL 32207(904) 858-7045 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Jackson Lmt NPPES

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

KELLY JACKSON LMT (NPI 1497108310) is an individual massage therapist in Jacksonville, Florida, licensed in Florida (MA61239) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1497108310
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKELLY JACKSONCredential: LMT
Location Address1325 SAN MARCO BLVD, SUITE 102Jacksonville, FL 32207-8568
Mailing Address1325 San Marco Blvd, Suite 102Jacksonville, FL 32207-8568 · (904) 858-7045
Phone(904) 858-7045
Sole ProprietorNo
Enumeration DateJuly 15, 2016
✔ NPI 1497108310 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 FL · MA61239
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.
1325 SAN MARCO BLVD, Jacksonville, FL 32207
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Other Names 1

Former Name (1)Kelly Abdullah Lmt

Other Providers at the Same Location NPPES 20

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

KRISTIN KERN D.P.T.
Physical Therapist
1325 SAN MARCO BLVD, SUITE 102
JACKSONVILLE, FL 32207
Duval County (904) 858-7045
TIFFANY KIDD ATC
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, SUITE 102
JACKSONVILLE, FL 32207
Duval County (904) 858-7045
NICOLE K ARMSTRONG ATC
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, SUITE 102
JACKSONVILLE, FL 32207
Duval County (904) 858-7045
SONYA M THIGPEN A.T.
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, #102
JACKSONVILLE, FL 32207
Duval County (904) 858-7045
DR. MOHAMED OMAR RADWAN M.D.
Internal Medicine (Pulmonary Disease)
1325 SAN MARCO BLVD, REID BUILDING, STE 300
JACKSONVILLE, FL 32207
Duval County (904) 253-6910
MRS. EMILY LISA REA ARNP
Nurse Practitioner (Family)
1325 SAN MARCO BLVD, REID BUILDING SUITE 300
JACKSONVILLE, FL 32207
Duval County (904) 253-6910
GREGORY HEETER M.S., ATC, LAT
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, SUITE 102
JACKSONVILLE, FL 32207
Duval County (904) 858-7045
WESLEY W. JETT PA-C
Physician Assistant
1325 SAN MARCO BLVD, SUITE 200
JACKSONVILLE, FL 32207
Duval County (904) 346-3465

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 Kelly Jackson's NPI number?

The NPI number for Kelly Jackson is 1497108310. It was assigned to this individual provider in the NPPES registry on July 15, 2016. The provider is also known as Kelly Abdullah Lmt.

Where is Kelly Jackson located?

Kelly Jackson practices at 1325 San Marco Blvd Suite 102, Jacksonville, FL 32207. The listed phone number is (904) 858-7045.

What is Kelly 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 Kelly Jackson was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.