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

Individual provider Massage Therapist · NPI 1326672494

Phyliss L Jackson, LCMT, HE is a Massage Therapist in Roseville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

1 Adventist Health Way
Roseville, CA 95661-3266
Phone: (916) 406-0177
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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 80744 (CA)

Record details

NPI number1326672494
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMT , HE
Sole proprietorYes
NPI enumeratedFebruary 27, 2020
Last updated in NPPESFebruary 27, 2020
Certification dateFebruary 27, 2020

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