National Provider Identifier Database

SHANETTE JACKSON
Massage Therapist

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.


Contact Information

SHANETTE JACKSON
602 FRONTAGE ROAD, STE.206
KENAI, AK99611
Phone: 907-416-8276
Fax:
Website:
Specialty Taxonomy Code
* Massage Therapist 225700000X

* Indicates primary specialty

NPI Profile & details for SHANETTE JACKSON

NPI Number 1073045050
Credentials
Entity Individual
Enumeration date 03/30/2017
Last updated 04/15/2025 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • AK License #: 128047
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SHANETTE JACKSON

There are currently no reviews for SHANETTE JACKSON


NPIdb - Home
v2.201