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

Nikkitta Antoinette Jackson

Individual provider Massage Therapist · NPI 1649727637

Nikkitta Antoinette Jackson is a Massage Therapist in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2016
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

20245 W 12 Mile Rd Ste 145
Southfield, MI 48076-6403
Phone: (734) 299-0208
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703117130 (MI)
Massage Therapist Taxonomy 225700000X · Licence 7501017098 (MI)

Record details

NPI number1649727637
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 7, 2016
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

Other providers in Southfield