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

Individual provider Massage Therapist · NPI 1992317051

Chris Jack, PTA, MT is a Massage Therapist in Kokomo, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

1781 E Lincoln Rd
Kokomo, IN 46902-3993
Phone: (765) 455-2014
Fax: (765) 455-6099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT20901752 (IN)

Record details

NPI number1992317051
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA , MT
Sole proprietorYes
NPI enumeratedAugust 20, 2020
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020
Mailing address1781 E Lincoln Rd, Kokomo, IN 46902-3993

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