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COLLETTE JACKSON LMT
NPI 1639625767
Massage Therapist in Snellville, GA

Active since August 29, 2016
3458 MANSFIELD LN, SNELLVILLE, GA 30039(678) 886-4163 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Collette Jackson Lmt NPPES

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

COLLETTE JACKSON LMT (NPI 1639625767) is an individual massage therapist in Snellville, Georgia, licensed in Georgia (MT008846) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1639625767
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameCOLLETTE JACKSONCredential: LMT
Location Address3458 MANSFIELD LNSnellville, GA 30039-4673
Mailing Address3458 Mansfield LnSnellville, GA 30039-4673 · (678) 886-4163
Phone(678) 886-4163
Sole ProprietorYes
Enumeration DateAugust 29, 2016
✔ NPI 1639625767 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 GA · MT008846
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.
3458 MANSFIELD LN, Snellville, GA 30039
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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 Collette Jackson's NPI number?

The NPI number for Collette Jackson is 1639625767. It was assigned to this individual provider in the NPPES registry on August 29, 2016.

Where is Collette Jackson located?

Collette Jackson practices at 3458 Mansfield Ln, Snellville, GA 30039. The listed phone number is (678) 886-4163.

What is Collette 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 Collette Jackson was last updated on August 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.