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KIM JACKSON
NPI 1639966112
Massage Therapist in Collegedale, TN

Active since April 21, 2025
5020 UNIVERSITY DR., COLLEGEDALE, TN 37315(423) 396-2100 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim Jackson NPPES

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

KIM JACKSON (NPI 1639966112) is an individual massage therapist in Collegedale, Tennessee, licensed in Tennessee (6973) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1639966112
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKIM JACKSON
Location Address5020 UNIVERSITY DR.Collegedale, TN 37315
Mailing Address2008 Tombras AveChattanooga, TN 37412-2730 · (423) 827-9394
Phone(423) 396-2100
Sole ProprietorYes
Enumeration DateApril 21, 2025
NPPES CertifiedApril 11, 2025
✔ NPI 1639966112 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 TN · 6973
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.
5020 UNIVERSITY DR., Collegedale, TN 37315
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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 Kim Jackson's NPI number?

The NPI number for Kim Jackson is 1639966112. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Kim Jackson located?

Kim Jackson practices at 5020 University Dr., Collegedale, TN 37315. The listed phone number is (423) 396-2100.

What is Kim 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 Kim Jackson was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.