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

Misty D Jackson, MASSAGETHERAPIST

Individual provider Massage Therapist · NPI 1154280758

Misty D Jackson, MASSAGETHERAPIST is a Massage Therapist in Huachuca City, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

1190 E Shadow Ln
Huachuca City, AZ 85616-8441
Phone: (520) 559-4600
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT-05655 (AZ)

Record details

NPI number1154280758
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASSAGETHERAPIST
Sole proprietorYes
NPI enumeratedJanuary 19, 2026
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address1190 E Shadow Ln, Huachuca City, AZ 85616-8441