MALLARY JACKSON LMT
NPI 1851253702
Massage Therapist in Detroit, MI
- Individual
- Female
- Massage Therapist
About MALLARY JACKSON
This page provides the complete NPI Profile along with additional information for Mallary Jackson, a provider established in Detroit, Michigan with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1851253702 assigned on December 2025. The practitioner's primary taxonomy code is 225700000X with license number 75010016559 (MI). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1851253702 Verify this NPI
- Provider Name
- MALLARY JACKSON LMT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 18218 JAMES COUZENS FWY DETROIT, MI 48235
- Location Phone
- (313) 699-5301
- Mailing Address
- 41470 E ARCHWOOD DR APT A134 VAN BUREN TOWNSHIP, MI 48111
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-01-2025
- Last Update Date
- 12-01-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 75010016559
- License State
- MI
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851253702, enumerated as an "individual" on December 01, 2025.
The provider is located at 18218 JAMES COUZENS FWY DETROIT, MI 48235 and the phone number is (313) 699-5301.
Massage Therapist with taxonomy code 225700000X.
