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

Shanette Jackson

Individual provider Massage Therapist · NPI 1073045050

Shanette Jackson is a Massage Therapist in Kenai, Alaska. Practices as a sole proprietor. Licensed in Alaska.

Licensed in
AK
In the registry since
2017

Practice location Address checks out

602 Frontage Road STE.206
Kenai, AK 99611
Phone: (907) 416-8276
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 128047 (AK)

Record details

NPI number1073045050
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 30, 2017
Last updated in NPPESApril 15, 2025
Certification dateApril 9, 2025
Mailing address10672 Kenai Spur Hwy Ste 112, Kenai, AK 99611-7868

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