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MR. MARK JACKSON LMT
NPI 1679851240
Massage Therapist in Jacksonville, FL

Active since July 29, 2011
12795 SAN JOSE BLVD, STE 9, JACKSONVILLE, FL 32223(904) 415-6744 Get Directions Write a Review

NPPES record last updated: July 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mark Jackson Lmt NPPES

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

MR. MARK JACKSON LMT (NPI 1679851240) is an individual massage therapist in Jacksonville, Florida, licensed in Florida (54995) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1679851240
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. MARK JACKSONCredential: LMT
Location Address12795 SAN JOSE BLVD, STE 9Jacksonville, FL 32223-2669
Mailing Address12795 San Jose Blvd, Ste 9Jacksonville, FL 32223-2669 · (904) 415-6744
Phone(904) 415-6744
Sole ProprietorYes
Enumeration DateJuly 29, 2011
✔ NPI 1679851240 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 · 54995
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.
12795 SAN JOSE BLVD, Jacksonville, FL 32223
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Other Providers at the Same Location NPPES 8

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

MICHIKO JARDINE LMT
Massage Therapist
12795 SAN JOSE BLVD, SUITE 9
JACKSONVILLE, FL 32223
Duval County (904) 619-1587
VAKIL THERAPEUTIC SERVICES
Physical Therapist
12795 SAN JOSE BLVD, SUITE 9
JACKSONVILLE, FL 32223
Duval County (904) 619-1587
SHANNON M CRAWFORD LMT
Massage Therapist
12795 SAN JOSE BLVD, SUITE 9 &10
JACKSONVILLE, FL 32223
Duval County (904) 619-1587
MS. JAIME REYNOLDS LMT
Massage Therapist
12795 SAN JOSE BLVD, STE 9
JACKSONVILLE, FL 32223
Duval County (904) 619-1587
JENINE BRUCHEZ LMT
Massage Therapist
12795 SAN JOSE BLVD, SUITE 9
JACKSONVILLE, FL 32223
Duval County (904) 619-1587
TECHER T MCGIBBIN LMT
Massage Therapist
12795 SAN JOSE BLVD, SUITE 9
JACKSONVILLE, FL 32223
Duval County (904) 619-1587
MS. CHERYL FOX LMT
Massage Therapist
12795 SAN JOSE BLVD, SUITE 9
JACKSONVILLE, FL 32223
Duval County (904) 619-1587
MS. AMANDA LIBERTY LMT
Massage Therapist
12795 SAN JOSE BLVD, STE 9
JACKSONVILLE, FL 32223
Duval County (904) 619-1587

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 Mark Jackson's NPI number?

The NPI number for Mark Jackson is 1679851240. It was assigned to this individual provider in the NPPES registry on July 29, 2011.

Where is Mark Jackson located?

Mark Jackson practices at 12795 San Jose Blvd Ste 9, Jacksonville, FL 32223. The listed phone number is (904) 415-6744.

What is Mark 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 Mark Jackson was last updated on July 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.