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

Alicia J Jackson, MASSAGETHERAPIST

Individual provider Massage Therapist · NPI 1902245988

Alicia J Jackson, MASSAGETHERAPIST is a Massage Therapist in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2013

Practice location Address checks out

11200 N Portland Ave
Oklahoma City, OK 73120-5045
Phone: (405) 936-1550
Fax: (405) 936-1559
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence OCC04318 (OK)

Record details

NPI number1902245988
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASSAGETHERAPIST
Sole proprietorYes
NPI enumeratedJune 23, 2013
Last updated in NPPESJune 23, 2013

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