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DEMETRIS JACKSON LMT
NPI 1942057377
Massage Therapist in Houston, TX

Active since May 03, 2024
11777 KATY FWY STE 435N, HOUSTON, TX 77079(281) 819-3467 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2024, May 3, 2024 (2 updates tracked since 2024).

About Demetris Jackson Lmt NPPES

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

DEMETRIS JACKSON LMT (NPI 1942057377) is an individual massage therapist in Houston, Texas, licensed in Texas (MT103613) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1942057377
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameDEMETRIS JACKSONCredential: LMT
Location Address11777 KATY FWY STE 435NHouston, TX 77079-1703
Mailing Address10505 Town And Country Way Unit 19175Houston, TX 77224-0110
Phone(281) 819-3467
Sole ProprietorYes
Enumeration DateMay 3, 2024
Last NPPES UpdateMay 17, 20242 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
✔ NPI 1942057377 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 TX · MT103613
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.
11777 KATY FWY STE 435N, Houston, TX 77079
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Other Names 1

Former Name (1)Demetris Edwards Lmt

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

TANEKA M WALKER NP
Nurse Practitioner (Family)
11777 KATY FWY STE 435N
HOUSTON, TX 77079
Harris County (281) 819-3467
DEVEN L. BROWN LMT, LE
Massage Therapist
11777 KATY FWY STE 435N
HOUSTON, TX 77079
Harris County (832) 721-8768

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 Demetris Jackson's NPI number?

The NPI number for Demetris Jackson is 1942057377. It was assigned to this individual provider in the NPPES registry on May 3, 2024. The provider is also known as Demetris Edwards Lmt.

Where is Demetris Jackson located?

Demetris Jackson practices at 11777 Katy Fwy Ste 435N, Houston, TX 77079. The listed phone number is (281) 819-3467.

What is Demetris 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 Demetris Jackson was last updated on May 17, 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.