Kelli Jackson, LMT
Massage Therapist in Beverly, Massachusetts
1053769851- Practice location
- 48R Enon St., Beverly, MA 01915-1116
- Phone
- 978-828-8468
- Fax
- —
- Last updated
- June 2, 2016
Kelli Jackson is a Massage Therapist based in Beverly, MA. Kelli Jackson practices in Beverly, MA and has the professional credentials of LMT. The NPI Number for Kelli Jackson is 1053769851 and holds a License No. 4166 (MA). The current practice location address for Kelli Jackson is 48R Enon St., Beverly, MA 01915-1116 and can be reached out via phone at 978-828-8468.
Provider Profile Details
- NPI Number
- 1053769851
- Provider Name
- Kelli Jackson
- Credential
- LMT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 48R Enon St., Beverly, MA 01915-1116
- Phone Number
- 978-828-8468
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 2, 2016
- Last Update Date
- June 2, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 48R Enon St.
Beverly, MA 01915-1116 - City
- Beverly
- State
- Massachusetts
- Zip
- 01915-1116
- Phone Number
- 978-828-8468
Provider Business Mailing Address Details
- Address
- 14 Enon St
1ST Floor
Beverly, MA 01915-1116 - City
- Beverly
- State
- MA
- Zip
- 01915-1116
- Phone Number
- 978-828-8468
License Information
- License Number
- 4166
- License State
- MA
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kelli Jackson, LMT?
The NPI number of Kelli Jackson, LMT is 1053769851. It was assigned on June 2, 2016 and is currently active in the NPPES registry.
What is the specialty of Kelli Jackson, LMT?
Kelli Jackson, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in MA under license number 4166.
Where does Kelli Jackson, LMT practice?
The practice location is 48R Enon St., Beverly, MA 01915-1116. The office can be reached at 978-828-8468 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053769851 directly on the NPPES registry website.