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

Nicki Angelyn Jackson, LMT

Individual provider Massage Therapist · NPI 1164241345

Nicki Angelyn Jackson, LMT is a Massage Therapist in Oak Park, California. Licensed in Montana. Registered with an NPI since 2024.

Licensed in
MT
In the registry since
2024
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

5816 Freebird Ln Unit 108
Oak Park, CA 91377-5635
Phone: (310) 600-8163
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 29417 (MT)

Record details

NPI number1164241345
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedOctober 7, 2024
Last updated in NPPESOctober 7, 2024
Certification dateSeptember 17, 2024

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