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

Jody M Jackson

Individual provider Mechanotherapist · NPI 1407235922

Jody M Jackson is a Mechanotherapist in West St Paul, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015
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Practice location Address checks out

33 Wentworth Ave E Ste 240
West St Paul, MN 55118-3431
Phone: (612) 770-7565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mechanotherapist (primary) Taxonomy 172M00000X · Licence 153830-6 (MN)

Record details

NPI number1407235922
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 29, 2015
Last updated in NPPESDecember 26, 2015
Mailing address33 Wentworth Ave E, Suite 240, West St Paul, MN 55118-3431