Steven John Jackson, LMT
Individual provider Active NPI Massage Therapist · Pomeroy, WA
NPI 1255224960 · NPPES record last updated Jun 2, 2025
Key facts
- NPI
- 1255224960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 2171967 (ID)
- Practice address
- 256 13TH St
Pomeroy, WA 99347-1301 - Phone
- (509) 844-8189
- NPI assigned
- Jun 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2171967 | ID | MD | Massage Therapist |
| MA61679087 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61679087 | WA | |
| Massage Therapist | 225700000X | 2171967 | ID | Yes |
Addresses
Primary practice location
256 13TH St
Pomeroy, WA 99347-1301
Mailing address
PO Box 887
Pomeroy, WA 99347-0887
Phone (509) 844-5071
Other providers in Pomeroy, WA
- Garfield County Memorial Hospital District
- Garfield County Memorial Hospital Radiology
- Garfield County Public Hospital District #1
- Suzanne M Grove
- Jonathan Harker
- Natalie Kirksey
- Janique Jade Lakey
- Brian Alan Mabry
- Joshua Levi Mayfield
- Olivia Jane Murdock
All providers in Pomeroy, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.