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

Kierra Lashay Jackson

Individual provider Massage Therapist · NPI 1083282420

Kierra Lashay Jackson is a Massage Therapist in Phoenix, Arizona. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1712 E Grove St
Phoenix, AZ 85040-3339
Phone: (773) 503-7137
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1083282420
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 13, 2021
Last updated in NPPESJune 13, 2021
Certification dateJune 13, 2021

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