Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Spa LLC

Organization Massage Therapist · NPI 1932089091

Jackson Spa LLC is a Massage Therapist in Jackson, Tennessee. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

31 Wiley Parker Rd Ste H
Jackson, TN 38305-5806
Phone: 0
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1932089091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kellie Wallace-Wilding — Owner · (901) 229-1744
Other names Jackson Massage And Day Spa; Cryosculpt; Reke
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address31 Wiley Parker Rd Ste H, Jackson, TN 38305-5806

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