Jackie's Myomassology Healing and Wellness LMT LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

JACKIE'S MYOMASSOLOGY HEALING AND WELLNESS LMT LLC

Practice address

831 N Pontiac TRL Lot 70
Walled Lake, MI 48390-3206

Phone

(313) 633-4974

NPI assigned

Feb 27, 2026

Last updated

Feb 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacklyn Joan-Marie HansenNPI 1386599181

Title

Licensed Massage Therapist

Phone

(313) 633-4974

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacklyn Joan-Marie Hansen

  • Massage Therapist
  • Walled Lake, MI
  • NPI 1386599181
  NPD Authorized official

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1437004249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 N PONTIAC TRL LOT 70",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903206",
            "telephone_number": "313-633-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 N PONTIAC TRL LOT 70",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903206",
            "telephone_number": "313-633-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE'S MYOMASSOLOGY HEALING AND WELLNESS LMT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JACKLYN",
        "authorized_official_middle_name": "JOAN-MARIE",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "313-633-4974"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hallie Marissa Horning, LMSW
• Raymond Winston Hubbard
• Julie Margaret Hudson, LMSW
• Bruce Edward Hulscher, DDS
• Inline Spines Chiropractic (Woodbeck Family Chiropractic)
• Stephen Eric Jacobson, D.D.S. PC
• Jamie L Hafke DDS PLLC
• JB Therapeutic and Sports Massage
• Laura Kaye Johnson-Hughes, LMSW
• Jasmine Erica Jones, LMSW

• Massage Therapist in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.