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

MS. Elizabeth A Jackson, LICMASSAGETHERAPI

Individual provider Specialist · NPI 1104091784

MS. Elizabeth A Jackson, LICMASSAGETHERAPI is a Specialist in Portland, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2008

Practice location Address checks out

94 Auburn St Ste 106
Portland, ME 04103-2141
Phone: (207) 878-3003
Fax: (207) 878-3004
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MT3127 (ME)

Record details

NPI number1104091784
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICMASSAGETHERAPI
Sole proprietorYes
NPI enumeratedApril 24, 2008
Last updated in NPPESDecember 8, 2008
Mailing address94 Auburn St, Suite 106, Portland, ME 04103-2141

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