Glam Therapy

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

GLAM THERAPY

Practice address

3450 Dunn Ave Ste 101
Jacksonville, FL 32218-6427

Phone

(904) 418-4611

NPI assigned

Apr 16, 2026

Organization subpart

No

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

Authorized official

Name

Crystal MackNPI 1942148747

Title

Owner

Phone

(904) 418-4611

Specialties & licenses 1

Addresses

Locations

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.

• Crystal Mack, MASSAGE THERAPIST

  • Massage Therapist
  • Jacksonville, FL
  • NPI 1942148747

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1770427130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12283 SUMTER SQUARE DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186123",
            "telephone_number": "904-418-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 DUNN AVE STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186427",
            "telephone_number": "904-418-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAM THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-418-4611"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Jana Gjushi, PTA
• Darby Glackin, ATC
• Ronnie G Gladden, FNP
• Gladney Family Med Center LLC
• Gladys Catering Service
• Latoya Glanton
• Erika Dawn Glas, D.O.
• Shirley D Glasgow, L.M.T.
• Anissa Glass, PHARM D
• Edward Richard Allen Glass Jr., LMHC

• Massage Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.