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

Ebony Jade Jackson, LMT

Individual provider Massage Therapist · NPI 1295575355

Ebony Jade Jackson, LMT is a Massage Therapist in Sumter, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

245 Kingsbury Dr
Sumter, SC 29150-7547
Phone: (803) 406-3001
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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 10030 (SC)

Record details

NPI number1295575355
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedMay 28, 2024
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024
Mailing address245 Kingsbury Dr, Sumter, SC 29150-7547

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