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

Mr. Mark Jackson, LMT

Individual provider Massage Therapist · NPI 1679851240

Mr. Mark Jackson, LMT is a Massage Therapist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2011
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

12795 San Jose Blvd Ste 9
Jacksonville, FL 32223-2669
Phone: (904) 415-6744
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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 54995 (FL)

Record details

NPI number1679851240
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedJuly 29, 2011
Last updated in NPPESJuly 29, 2011

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