TONI M. JACKSON NCTMB NPI 1376871103

NPI Information

NPI: 1376871103
Provider Name: TONI M. JACKSON, NCTMB
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
4806 STATE ST
HOME OFFICE
EAST SAINT LOUIS, IL
ZIP 62205
Phone: (618) 225-2777
Get Directions

Toni M. Jackson, NCTMB is a massage therapist in East Saint Louis, IL. The provider is 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. Toni M. Jackson, NCTMB NPI is 1376871103. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4806 STATE ST
HOME OFFICE
EAST SAINT LOUIS, IL
ZIP 62205-355
Phone: (618) 225-2777

The enumeration date for this NPI number is 12/7/2009 and was last updated on 2/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	171000000X	Military Health Care Provider			No
2	225400000X	Rehabilitation Practitioner			No
3	226000000X	Recreational Therapist Assistant			No
4	226300000X	Kinesiotherapist			No
5	225700000X	Massage Therapist	2005015267	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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