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

Miss. Ida Olivia Jackson, LAC, LMT

Individual provider Acupuncturist · NPI 1184022659

Miss. Ida Olivia Jackson, LAC, LMT is an Acupuncturist in Kirkwood, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

103 N Taylor Ave Ste B
Kirkwood, MO 63122-4360
Phone: (314) 623-2302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 2013032932 (MO)

Record details

NPI number1184022659
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC , LMT
Sole proprietorNo
NPI enumeratedDecember 15, 2014
Last updated in NPPESDecember 15, 2014