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

Kodi Jackson, LMT

Individual provider Massage Therapist · NPI 1710562863

Kodi Jackson, LMT is a Massage Therapist in Cibolo, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2021
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

248 Kipper Ave
Cibolo, TX 78108-4324
Phone: (210) 315-7510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT127777 (TX)

Record details

NPI number1710562863
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 10, 2021
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021
Mailing address248 Kipper Ave, Cibolo, TX 78108-4324

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