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

Corrine R Jackson, LMT

Individual provider Massage Therapist · NPI 1952187882

Corrine R Jackson, LMT is a Massage Therapist in Buffalo, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

40 N Forest Rd
Buffalo, NY 14221-5230
Phone: (716) 235-1338
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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 030743 (NY)

Record details

NPI number1952187882
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedSeptember 6, 2023
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

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