Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Massage Revolution

Organization Specialist · NPI 1053754580

Massage Revolution provides Specialist services in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2013.

Licensed in
MS
In the registry since
2013

Practice location Address checks out

210 E Capitol St Ste M-142
Jackson, MS 39201-2306 Not confirmed with CMS for 13 years — call before visiting
Phone: (601) 918-1853
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence LMT 2025 (MS)

Record details

NPI number1053754580
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Manning — Partner/Owner · (601) 918-1853
NPI enumeratedApril 15, 2013
Last updated in NPPESApril 15, 2013
Mailing address210 E Capitol St Ste M-142, Jackson, MS 39201-2306

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