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

Jacki L Moon, LMT

Individual provider Specialist · NPI 1629273008

Jacki L Moon, LMT is a Specialist in Lake Stevens, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

10519 20th St SE Ste # 1
Lake Stevens, WA 98258
Phone: (425) 397-4900
Fax: (425) 397-6900
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA00004663 (WA)

Record details

NPI number1629273008
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedJune 18, 2007
Last updated in NPPESFebruary 2, 2021
Certification dateFebruary 2, 2021
Mailing addressP.O. Box 1061, Lake Stevens, WA 98258

Other providers in Lake Stevens