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

Mr. Jack Acosta, LMT

Individual provider Massage Therapist · NPI 1528834702

Mr. Jack Acosta, LMT is a Massage Therapist in Long Beach, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

6621 E Pacific Coast Hwy Ste 120
Long Beach, CA 90803-4244
Phone: (562) 414-5001
Fax: (562) 414-5002
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Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 77975 (CA)

Record details

NPI number1528834702
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedNovember 29, 2023
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing address6621 E Pacific Coast Hwy Ste 120, Long Beach, CA 90803-4244

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