DEMETRIS JACKSON LMT
NPI 1942057377
Massage Therapist in Houston, TX
- Individual
- Female
- Massage Therapist
About DEMETRIS JACKSON
This page provides the complete NPI Profile along with additional information for Demetris Jackson, a provider established in Houston, Texas with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1942057377 assigned on May 2024. The practitioner's primary taxonomy code is 225700000X with license number MT103613 (TX). The provider is registered as an individual and her NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1942057377 Verify this NPI
- Provider Name
- DEMETRIS JACKSON LMT
- Other Name
- DEMETRIS EDWARDS LMT
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 11777 KATY FWY STE 435N HOUSTON, TX 77079
- Location Phone
- (281) 819-3467
- Mailing Address
- 10505 TOWN AND COUNTRY WAY UNIT 19175 HOUSTON, TX 77224
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-03-2024
- Last Update Date
- 05-17-2024
- 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.
- MT103613
- License State
- TX
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942057377, enumerated as an "individual" on May 03, 2024.
The provider is located at 11777 KATY FWY STE 435N HOUSTON, TX 77079 and the phone number is (281) 819-3467.
Massage Therapist with taxonomy code 225700000X.
