KODI JACKSON LMT
NPI 1710562863
Massage Therapist in Cibolo, TX
About Kodi Jackson Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KODI JACKSON LMT (NPI 1710562863) is an individual massage therapist in Cibolo, Texas, licensed in Texas (MT127777) and active in the NPI registry since March 2021.
NPPES Registry Identity
Specialties & Licenses
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 Kodi Jackson's NPI number?
The NPI number for Kodi Jackson is 1710562863. It was assigned to this individual provider in the NPPES registry on March 10, 2021.
Where is Kodi Jackson located?
Kodi Jackson practices at 248 Kipper Ave, Cibolo, TX 78108. The listed phone number is (210) 315-7510.
What is Kodi 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 Kodi Jackson was last updated on March 10, 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.
# Kodi Jackson, LMT · NPI 1710562863
Massage Therapist provider in Cibolo, Texas. Individual provider, active in the CMS NPPES registry since March 10, 2021.
## Identity
- **NPI:** 1710562863 (Entity type: Individual)
- **Enumerated:** March 10, 2021
- **Primary specialty:** Massage Therapist · taxonomy 225700000X
- **State license:** MT127777 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 248 KIPPER AVE, Cibolo, TX 78108-4324
- **Phone:** (210) 315-7510
## Record status
- **NPPES last updated:** March 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1710562863) · Data from the CMS NPPES public registry.