KATHY JACKSON
NPI 1790175354
Massage Therapist in Coeur D Alene, ID

Q: What is Kathy Jackson's NPI number?

The NPI number for Kathy Jackson is 1790175354. It was assigned to this individual provider in the NPPES registry on February 3, 2015.

Q: What is Kathy Jackson's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Kathy Jackson was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 03, 2015

850 W IRONWOOD DR STE 302, COEUR D ALENE, ID 83814(208) 664-5225(208) 664-5228 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kathy Jackson NPPES

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

KATHY JACKSON (NPI 1790175354) is an individual massage therapist in Coeur D Alene, Idaho, licensed in Idaho (MASG2105) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1790175354

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameKATHY JACKSON

Location Address850 W IRONWOOD DR STE 302Coeur D Alene, ID 83814-4903

Mailing Address850 W Ironwood Dr Ste 302Coeur D Alene, ID 83814-4903 · (208) 664-5225 · Fax (208) 664-5228

Phone(208) 664-5225

Fax(208) 664-5228

Sole ProprietorNo

Enumeration DateFebruary 3, 2015

✔ NPI 1790175354 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 ID · MASG2105

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.

850 W IRONWOOD DR STE 302, Coeur D Alene, ID 83814

Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

TAMMY MARIE MAC

Massage Therapist

850 W IRONWOOD DR STE 302
COEUR D ALENE, ID 83814

Kootenai County (208) 664-5225

VERONICA GUADALUPE REYES LMT

Massage Therapist

850 W IRONWOOD DR STE 302
COEUR D ALENE, ID 83814

Kootenai County (208) 664-5225

SHELLY ANN ZOLEZZI

Massage Therapist

850 W IRONWOOD DR STE 302
COEUR D ALENE, ID 83814

Kootenai County (208) 664-5225

LEVI DUMONT LMT

Massage Therapist

850 W IRONWOOD DR STE 302
COEUR D ALENE, ID 83814

Kootenai County (208) 664-5225

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 Kathy Jackson's NPI number?

The NPI number for Kathy Jackson is 1790175354. It was assigned to this individual provider in the NPPES registry on February 3, 2015.

Where is Kathy Jackson located?

Kathy Jackson practices at 850 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814. The listed phone number is (208) 664-5225.

What is Kathy 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 Kathy Jackson was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.