STACI WIXOM JACOBS LMP
NPI 1831323344
Massage Therapist in Liberty Lake, WA

Active since May 12, 2009
1235 N LIBERTY LAKE RD, SUITE 106, LIBERTY LAKE, WA 99019(509) 434-9959 Get Directions Write a Review

NPPES record last updated: May 12, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Staci Wixom Jacobs Lmp NPPES

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

STACI WIXOM JACOBS LMP (NPI 1831323344) is an individual massage therapist in Liberty Lake, Washington, licensed in Washington (MA 00025318) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1831323344
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSTACI WIXOM JACOBSCredential: LMP
Location Address1235 N LIBERTY LAKE RD, SUITE 106Liberty Lake, WA 99019-7581
Mailing Address20610 E 1st AveGreenacres, WA 99016-9659 · (509) 434-9959
Sole ProprietorNo
Enumeration DateMay 12, 2009
✔ NPI 1831323344 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 WA · MA 00025318
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.
1235 N LIBERTY LAKE RD, Liberty Lake, WA 99019

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 Staci Jacobs's NPI number?

The NPI number for Staci Jacobs is 1831323344. It was assigned to this individual provider in the NPPES registry on May 12, 2009.

Where is Staci Jacobs located?

Staci Jacobs practices at 1235 N Liberty Lake Rd Suite 106, Liberty Lake, WA 99019. The listed phone number is (509) 434-9959.

What is Staci Jacobs'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 Staci Jacobs was last updated on May 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.