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

Kathy Jackson

Individual provider Massage Therapist · NPI 1790175354

Kathy Jackson is a Massage Therapist in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015

Practice location Address checks out

850 W Ironwood Dr Ste 302
Coeur D Alene, ID 83814-4903
Phone: (208) 664-5225
Fax: (208) 664-5228
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MASG2105 (ID)

Record details

NPI number1790175354
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2015
Last updated in NPPESFebruary 3, 2015

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