NPI 1073045050

Shanette Jackson

Practitioner Massage Therapist Kenai, AK

Practice location

Address: 602 Frontage Road, Ste.206, Kenai, AK 99611
Phone: (907) 416-8276
Mailing address: 10672 Kenai Spur Hwy STE 112, Kenai, AK 99611-7868

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 128047 (AK)

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Registry record

NPI: 1073045050
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2017
Record last updated: 15 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.