MALLARY JACKSON LMT
NPI 1851253702
Massage Therapist in Detroit, MI

Q: What is Mallary Jackson's NPI number?

The NPI number for Mallary Jackson is 1851253702. It was assigned to this individual provider in the NPPES registry on December 1, 2025.

Q: What is Mallary 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 Mallary Jackson was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since December 01, 2025

18218 JAMES COUZENS FWY, DETROIT, MI 48235(313) 699-5301 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mallary Jackson Lmt NPPES

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

MALLARY JACKSON LMT (NPI 1851253702) is an individual massage therapist in Detroit, Michigan, licensed in Michigan (75010016559) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1851253702

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMALLARY JACKSONCredential: LMT

Location Address18218 JAMES COUZENS FWYDetroit, MI 48235-2501

Mailing Address41470 E Archwood Dr Apt A134Van Buren Township, MI 48111-4501

Phone(313) 699-5301

Sole ProprietorYes

Enumeration DateDecember 1, 2025

NPPES CertifiedNovember 30, 2025

✔ NPI 1851253702 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 MI · 75010016559

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.

18218 JAMES COUZENS FWY, Detroit, MI 48235

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Other Providers at the Same Location NPPES

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

JUPITER WELLNESS CO LLC

Clinic/Center (Health Service)

18218 JAMES COUZENS FWY
DETROIT, MI 48235

Wayne County (313) 699-5301

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 Mallary Jackson's NPI number?

The NPI number for Mallary Jackson is 1851253702. It was assigned to this individual provider in the NPPES registry on December 1, 2025.

Where is Mallary Jackson located?

Mallary Jackson practices at 18218 James Couzens Fwy, Detroit, MI 48235. The listed phone number is (313) 699-5301.

What is Mallary 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 Mallary Jackson was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.