Kelli Jackson, LMT

Massage Therapist · Beverly, MA

Individual Active NPI

NPI number 1053769851

Practice location

48r Enon St.
Beverly, MA 01915-1116
Phone
(978) 828-8468

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NPI record

NPI
1053769851
Entity type
Individual (Type 1)
Enumeration date
June 2, 2016
Last updated
June 2, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Massage Therapist Primary 225700000X 4166 MA

Mailing address

14 Enon St
1st Floor
Beverly, MA 01915-1116
Phone
(978) 828-8468

About Kelli Jackson

Kelli Jackson, LMT is a healthcare provider registered in the NPI registry with the primary taxonomy Massage Therapist (code 225700000X). The practice location is 48r Enon St., Beverly, MA 01915-1116. The NPI number 1053769851 was assigned on June 2, 2016 and the record was last updated on June 2, 2016.

Kelli Jackson lists a license in the registry: #4166 (MA) for Massage Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelli Jackson, LMT?

The NPI number is 1053769851.

What is the phone number of Kelli Jackson?

The phone number listed for the practice location is (978) 828-8468.

Where is Kelli Jackson located?

48r Enon St., Beverly, MA 01915-1116.

What is the taxonomy code for Kelli Jackson?

The primary taxonomy code is 225700000X – Massage Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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