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

Individual provider Massage Therapist · NPI 1275711350

David Edward Jackson III, CMT is a Massage Therapist in Lake Station, Indiana. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008
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Practice location Address checks out

3321 E 35th Ave
Lake Station, IN 46405-3016
Phone: (219) 714-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1275711350
Entity typeIndividual (Type 1)
GenderMale
Credentials CMT
Sole proprietorYes
NPI enumeratedJanuary 31, 2008
Last updated in NPPESJanuary 31, 2008

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