Michael Frederick Jackson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

12702 E 33Rd CT
Spokane Valley, WA 99206-8372

Phone

(509) 993-4014

NPI assigned

Aug 4, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark WM Houk ,D.C. P.S.

  • Chiropractor
  • Spokane, WA
  • NPI 1528046778
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1295345346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12702 E 33RD CT",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992068372",
            "telephone_number": "509-993-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12702 E 33RD CT",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992068372",
            "telephone_number": "509-993-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MICHAEL",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Blake, DMD, PS
• Taylor Jacklin, LMP
• Holly Jackson, PHARMD
• Judith Lynn Jackson
• Lauren Ann Jackson
• N Scott Jackson, PA-C
• Noah Jackson
• Amber Rose Jacober, SUDPT
• Elizabeth Joan Jacobsen, PA-C
• April Leigh Jacobson

• Massage Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.