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

Jackie Earlene Primos, LMT

Individual provider Massage Therapist · NPI 1861254815

Jackie Earlene Primos, LMT is a Massage Therapist in Merrillville, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
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

7895 Broadway Ste D
Merrillville, IN 46410-5529
Phone: (219) 440-6612
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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 MT22308074 (IN)

Record details

NPI number1861254815
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedJanuary 25, 2024
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024
Mailing address1952 W 2nd Ave, Gary, IN 46404-1108

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