NPI 1639966112

Kim Jackson

Practitioner Massage Therapist Collegedale, TN

Practice location

Address: 5020 University Dr., Collegedale, TN 37315
Phone: (423) 396-2100
Mailing address: 2008 Tombras Ave, Chattanooga, TN 37412-2730

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 6973 (TN)

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Registry record

NPI: 1639966112
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Apr 2025
Record last updated: 21 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.