MS. SUSAN R. RENEE JACKSON LMP
NPI 1902047954
Massage Therapist in Tumwater, WA

Active since March 19, 2009
511 N 7TH AVE SW, TUMWATER, WA 98512(360) 790-9195 Get Directions Write a Review

NPPES record last updated: March 19, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Susan R. Renee Jackson Lmp NPPES

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

MS. SUSAN R. RENEE JACKSON LMP (NPI 1902047954) is an individual massage therapist in Tumwater, Washington, licensed in Washington (MA60073078) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1902047954
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMS. SUSAN R. RENEE JACKSONCredential: LMP
Location Address511 N 7TH AVE SWTumwater, WA 98512-6305
Mailing Address511 N 7th Ave SwTumwater, WA 98512-6305 · (360) 790-9195
Sole ProprietorNo
Enumeration DateMarch 19, 2009
NPI 1902047954 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 · MA60073078
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.

511 N 7TH AVE SW, Tumwater, WA 98512

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 Susan R. Jackson's NPI number?

The NPI number for Susan R. Jackson is 1902047954. It was assigned to this individual provider in the NPPES registry on March 19, 2009.

Where is Susan R. Jackson located?

Susan R. Jackson practices at 511 N 7th Ave SW, Tumwater, WA 98512. The listed phone number is (360) 790-9195.

What is Susan R. 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 Susan R. Jackson was last updated on March 19, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.