KRYSTAL NICOLE JACKSON
Massage Therapist

Address: 8342 White Mulberry, San Antonio, TX 78254-5792

KRYSTAL NICOLE JACKSON (NPI# 1588246151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588246151
Entity Type Individual
Full Name KRYSTAL NICOLE JACKSON
Gender Female
Credential LMT, CHHP
Practice Address 8342 White Mulberry
San Antonio
TX 78254-5792
Practice Telephone 2105568266
Mailing Address 8342 White Mulberry
San Antonio
TX 78254-5792
Certification Date 2021-04-23
Enumeration Date 2021-04-23
Last Update Date 2021-04-23
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 225700000X Massage Therapist MT133922 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 175F00000X Naturopath Other Service Providers

Office Location

Street Address 8342 WHITE MULBERRY
City SAN ANTONIO
State TX
Zip Code 78254-5792

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1699036079 Josefa Gabrielle Wright Counselor - Professional 9621 Autumn Shade, San Antonio, TX 78254 2012-06-02
1598359069 Trendline Aba Community/Behavioral Health 8922 Queen Heights, San Antonio, TX 78254 2021-02-25
1679959613 Kye Edward Mallernee Dentist 9820 Braun Rd Ste 102, San Antonio, TX 78254 2015-07-31
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1720451925 Francisca M. Maddefa Home Health 9514 Autumn Breeze, San Antonio, TX 78254 2015-11-10
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124600085 Christionna Nichol Shuman-Bates Massage Therapist 5707 Tpc Pkwy Apt 1435, San Antonio, TX 78261-2794 2021-04-21
1457932147 Edgar O Payan Massage Therapist 5602 Presidio Pkwy Apt 1417, San Antonio, TX 78249-3093 2021-04-15
1003495318 Ying Chen Massage Therapist 6387 Babcock Rd Ste 3, San Antonio, TX 78240-2538 2021-04-05
1639756299 Dawn Marie Lopez Massage Therapist 323 Silver Bit, San Antonio, TX 78227-4348 2021-03-28
1598342487 Claudia Padilla Massage Therapist 24288 Forest Dr, San Antonio, TX 78264-3826 2021-03-26
1497340863 Lorie Cast-Rebollo Massage Therapist 7703 Ingram Rd Apt 2707, San Antonio, TX 78251-1759 2021-03-07
1013506682 Jules Gordon Cumberbatch Massage Therapist 13842 Buffalo Vly, San Antonio, TX 78252-1715 2021-01-18
1780271452 Erika Ortega Massage Therapist 18 Queens Heath, San Antonio, TX 78257-1721 2020-12-28
1255928511 Jennifer K Triance Massage Therapist 4003 Tallulah Dr, San Antonio, TX 78218-3449 2020-12-21
1982209698 Ryan Potter Massage Therapist 5100 Nw Loop 410 Apt 4005, San Antonio, TX 78229-5325 2020-12-01
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Competitor

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City SAN ANTONIO
Zip Code 78254

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.