Corrine R. Jackson, LMT

Massage Therapist · Buffalo, NY

Individual Active NPI

NPI number 1952187882

Practice location

40 N Forest Rd
Buffalo, NY 14221-5230
Phone
(716) 235-1338

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NPI record

NPI
1952187882
Entity type
Individual (Type 1)
Enumeration date
September 6, 2023
Last updated
May 8, 2025
Certified
May 8, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Massage Therapist Primary 225700000X 030743 NY

Mailing address

23 New Southgate Rd Lowr
Buffalo, NY 14215-1809
Phone
(716) 310-4070

About Corrine Jackson

Corrine R. Jackson, LMT is a healthcare provider registered in the NPI registry with the primary taxonomy Massage Therapist (code 225700000X). The practice location is 40 N Forest Rd, Buffalo, NY 14221-5230. The NPI number 1952187882 was assigned on September 6, 2023 and the record was last updated on May 8, 2025.

Corrine Jackson lists a license in the registry: #030743 (NY) 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 Corrine R. Jackson, LMT?

The NPI number is 1952187882.

What is the phone number of Corrine Jackson?

The phone number listed for the practice location is (716) 235-1338.

Where is Corrine Jackson located?

40 N Forest Rd, Buffalo, NY 14221-5230.

What is the taxonomy code for Corrine 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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