Amanda Rita Jackson

Massage Therapist · Fresno, CA

Individual Active NPI

NPI number 1477461861

Practice location

1420 W Shaw Ave Ste a
Fresno, CA 93711-3612
Phone
(559) 521-3321

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NPI record

NPI
1477461861
Entity type
Individual (Type 1)
Enumeration date
August 28, 2026
Last updated
August 28, 2026
Certified
August 28, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Massage Therapist Primary 225700000X 87507 CA

Mailing address

1890 Centennial Dr Apt 114
Hanford, CA 93230-9378
Phone
(559) 521-3321

About Amanda Jackson

Amanda Rita Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Massage Therapist (code 225700000X). The practice location is 1420 W Shaw Ave Ste a, Fresno, CA 93711-3612. The NPI number 1477461861 was assigned on August 28, 2026 and the record was last updated on August 28, 2026.

Amanda Jackson lists a license in the registry: #87507 (CA) 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 Amanda Rita Jackson?

The NPI number is 1477461861.

What is the phone number of Amanda Jackson?

The phone number listed for the practice location is (559) 521-3321.

Where is Amanda Jackson located?

1420 W Shaw Ave Ste a, Fresno, CA 93711-3612.

What is the taxonomy code for Amanda 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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