CHRIS JACK PTA, MT
NPI 1992317051
Massage Therapist in Kokomo, IN

Active since August 20, 2020
1781 E LINCOLN RD, KOKOMO, IN 46902(765) 455-2014(765) 455-6099 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Chris Jack Pta, Mt NPPES

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

CHRIS JACK PTA, MT (NPI 1992317051) is an individual massage therapist in Kokomo, Indiana, licensed in Indiana (MT20901752) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1992317051
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameCHRIS JACKCredential: PTA, MT
Location Address1781 E LINCOLN RDKokomo, IN 46902-3993
Mailing Address1781 E Lincoln RdKokomo, IN 46902-3993 · (765) 455-2014
Fax(765) 455-6099
Sole ProprietorYes
Enumeration DateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
NPI 1992317051 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 · MT20901752
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.
1781 E LINCOLN RD, Kokomo, IN 46902

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.

Physical Therapist
1781 E LINCOLN RD
KOKOMO, IN 46902
Clinic/Center (Physical Therapy)
1781 E LINCOLN RD
KOKOMO, IN 46902

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 Chris Jack's NPI number?

The NPI number for Chris Jack is 1992317051. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Where is Chris Jack located?

Chris Jack practices at 1781 E Lincoln Rd, Kokomo, IN 46902. The listed phone number is (765) 455-2014.

What is Chris Jack'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 Chris Jack was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.