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

Kim Jackson

Individual provider Massage Therapist · NPI 1639966112

Kim Jackson is a Massage Therapist in Collegedale, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2025

Practice location Address checks out

5020 University Dr
Collegedale, TN 37315
Phone: (423) 396-2100
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 6973 (TN)

Record details

NPI number1639966112
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 21, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 11, 2025
Mailing address2008 Tombras Ave, Chattanooga, TN 37412-2730

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