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

Jacklyn Joan-Marie Hansen

Individual provider Massage Therapist · NPI 1386599181

Jacklyn Joan-Marie Hansen is a Massage Therapist in Walled Lake, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

831 N Pontiac Trl Lot 70
Walled Lake, MI 48390-3206
Phone: (313) 633-4974
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 7501016862 (MI)

Record details

NPI number1386599181
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2026
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

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