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

Trevor Brandon Jackson, MT

Individual provider Massage Therapist · NPI 1356003552

Trevor Brandon Jackson, MT is a Massage Therapist in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2021.

Licensed in
SC
In the registry since
2021
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

See every abbreviation used in this directory →

Practice location Address checks out

1631 Main St Columbia Sc
Columbia, SC 29223
Phone: (803) 310-2793
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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 10033 (SC)

Record details

NPI number1356003552
Entity typeIndividual (Type 1)
GenderMale
Credentials MT
Sole proprietorNo
NPI enumeratedOctober 6, 2021
Last updated in NPPESOctober 6, 2021
Certification dateSeptember 22, 2021

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