THERESA JACKSON


Address: 3647 Cedar Ave S, Minneapolis, MN 55407-2919
Phone: 6127280223

THERESA JACKSON (NPI# 1093280422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093280422
Entity Type Individual
Full Name THERESA JACKSON
Practice Address 3647 Cedar Ave S
Minneapolis
MN 55407-2919
Mailing Address 10820 S Shore Dr Apt 13
Plymouth
MN 55441-4970
Practice Telephone 6127280223
Mailing Telephone 6122429536
Enumeration Date 2018-10-12
Last Update Date 2018-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers THERESA JACKSON

NPI Name Taxonomy Address Enumeration
1144767906 Theresa A Jackson Community Health Worker 3112 33rd St Ne, Canton, OH 44705-3869 2017-01-31
1104207083 Theresa Jackson Chore Provider 77 E Great Lakes St Apt 303, River Rouge, MI 48218-1584 2015-06-16
1164818993 Theresa Jackson Emergency Medicine 4629 E 13th Pl, Tulsa, OK 74112-6103 2015-04-08
1063832509 Theresa Jackson Counselor 18 J Braden Thompson Rd, Forestdale, MA 02644-1555 2014-04-23
1083947592 Theresa Michelle Jackson Registered Nurse 337 E 197th St, Euclid, OH 44119-1121 2009-09-15
1841486289 Theresa Y Jackson Massage Therapist 1803 Boulevard, Jacksonville, FL 32206-4342 2007-09-19
1790332443 Theresa Lynn Jackson Dietitian, Registered 2950 Elmwood Ave, Kenmore, NY 14217-1304 2019-08-19
1275021834 Theresa E. Jackson Social Worker 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 2018-04-28
1568709335 Theresa F Jackson Pharmacist 3550 Centerville Hwy, Snellville, GA 30039-4133 2013-01-13
1154506681 Theresa Jackson Social Worker 2100 Comer Ave, Columbus, GA 31904-8725 2008-01-03

Office Location

Street Address 3647 CEDAR AVE S
City MINNEAPOLIS
State MN
Zip Code 55407-2919

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295833689 Carlos Alberto Rivera Chiropractor 3647 Cedar Ave S, Minneapolis, MN 55407-2919 2006-09-20
1619310893 Alejandra Barreto Massage Therapist 3647 Cedar Ave S, Minneapolis, MN 55407-2919 2013-04-08
1376839548 Rene Dauphinais Massage Therapist 3647 Cedar Ave S, Minneapolis, MN 55407-2919 2011-06-25
1447549464 Sasha Robinson Massage Therapist 3647 Cedar Ave S, Minneapolis, MN 55407-2919 2011-03-30
1598069890 Annette Ashley Adams Massage Therapist 3647 Cedar Ave S, Minneapolis, MN 55407-2919 2010-12-29
1710217286 Justin James Workman Acupuncturist 3647 Cedar Ave S, Minneapolis, MN 55407-2919 2010-01-06
1790012417 Stephen Parker Contractor 3647 Cedar Ave S, Minneapolis, MN 55407-2919 2009-11-17
1518028448 Rivera Chiropractic Center Chiropractor 3647 Cedar Ave S, Minneapolis, MN 55407-2919 2006-12-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720644057 Amana Home Care Home Health 2833 13th Ave S Suite 118, Minneapolis, MN 55407 2019-05-13
1356802979 Aaron Randy Pickrel Student in an Organized Health Care Education/Training Program 2800 Chicago Avenue, #250, Minneapolis, MN 55407 2019-03-27
1053881631 Naimo Abdisalam Registered Nurse 1229 East Lake Street, Minneapolis, MN 55407 2018-11-27
1437639614 Kelly Usitalo Nurse Practitioner 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 2018-08-17
1952880346 Allison Hall Internal Medicine Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 2018-08-07
1780176370 Rebekah Sand Physical Therapist 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 2018-05-31
1417448663 Vivian T.c. Liu Student in an Organized Health Care Education/Training Program 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 2018-05-23
1053802397 Isuroon Counselor 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 2018-05-22
1154811404 Mohamed Mukhtar Ali Dentist 4700 Cedar Ave S, Minneapolis, MN 55407 2018-05-12
1396254280 Erin Elizabeth Casper Registered Nurse 3621 Oakland Ave, Minneapolis, MN 55407 2017-09-25
Find all providers in zip 55407

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861009185 Miesha Nicole Lewis Massage Therapist 3759 Thomas Ave N, Minneapolis, MN 55412-1840 2020-09-30
1588271928 Cyarra Monique Swanson Massage Therapist 2708 Blaisdell Ave Apt B, Minneapolis, MN 55408-1524 2020-09-29
1902411648 Dakota Lee Hain Massage Therapist 1121 Jackson St Ne Ste 119, Minneapolis, MN 55413-1597 2020-09-10
1881225142 Mighty Massage Inc Massage Therapist 2514 Polk St Ne # 2, Minneapolis, MN 55418-3730 2020-01-27
1568006005 Alex Guillien Massage Therapist 34 13th Ave Ne Ste 109, Minneapolis, MN 55413-1007 2019-10-28
1093356883 Montae Bailey Massage Therapist 1324 Quincy St Ne, Minneapolis, MN 55413-1541 2019-10-02
1689227845 Reka Laeger-hagemeister Massage Therapist 4325 Nicollet Ave # 2, Minneapolis, MN 55409-2032 2019-07-17
1104488774 Kari Jo Haugen Massage Therapist 3708 E 34th St, Minneapolis, MN 55406-2702 2019-07-03
1710472535 Zulema L Leyva Massage Therapist 34 13th Ave Ne Ste B002c, Minneapolis, MN 55413-1091 2018-06-25
1881188597 Lydia Joy Allison Massage Therapist 2933 29th Ave. S., Minneapolis, MN 55406 2018-06-15
Find all providers in MINNEAPOLIS

Competitor

Search similar providers

City MINNEAPOLIS
Zip Code 55407

Improve Information

Please comment or provide details below to improve the information on THERESA JACKSON.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches