JACKIE EARLENE PRIMOS LMT
NPI 1861254815
Massage Therapist in Merrillville, IN

Q: What is Jackie Primos's NPI number?

The NPI number for Jackie Primos is 1861254815. It was assigned to this individual provider in the NPPES registry on January 25, 2024.

Q: What is Jackie Primos'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 Jackie Primos was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 25, 2024

7895 BROADWAY STE D, MERRILLVILLE, IN 46410(219) 440-6612 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jackie Earlene Primos Lmt NPPES

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

JACKIE EARLENE PRIMOS LMT (NPI 1861254815) is an individual massage therapist in Merrillville, Indiana, licensed in Indiana (MT22308074) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1861254815

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameJACKIE EARLENE PRIMOSCredential: LMT

Location Address7895 BROADWAY STE DMerrillville, IN 46410-5529

Mailing Address1952 W 2nd AveGary, IN 46404-1108 · (219) 794-4626

Phone(219) 440-6612

Sole ProprietorYes

Enumeration DateJanuary 25, 2024

NPPES CertifiedJanuary 25, 2024

✔ NPI 1861254815 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 IN · MT22308074

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.

7895 BROADWAY STE D, Merrillville, IN 46410

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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.

ZEN WELLNESS & RETREATS, INC

Massage Therapist

7895 BROADWAY STE D
MERRILLVILLE, IN 46410

Lake County (219) 440-6612

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 Jackie Primos's NPI number?

The NPI number for Jackie Primos is 1861254815. It was assigned to this individual provider in the NPPES registry on January 25, 2024.

Where is Jackie Primos located?

Jackie Primos practices at 7895 Broadway Ste D, Merrillville, IN 46410. The listed phone number is (219) 440-6612.

What is Jackie Primos'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 Jackie Primos was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.