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

Miss. Nakita R Jack, LMT

Individual provider Massage Therapist · NPI 1033865340

Miss. Nakita R Jack, LMT is a Massage Therapist in Hayden, Idaho. Licensed in Idaho. Registered with an NPI since 2022.

Licensed in
ID
In the registry since
2022
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

9751 N Government Way Ste 4
Hayden, ID 83835-9645
Phone: (208) 696-1330
Fax: (208) 684-7834
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MAS3883 (ID)

Record details

NPI number1033865340
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedFebruary 24, 2022
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022

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