THERESA JACKSON (NPI# 1093280422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
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 |
Street Address |
3647 CEDAR AVE S |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55407-2919 |
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 |
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 Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
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. |
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 |
City | MINNEAPOLIS |
Zip Code | 55407 |
Please comment or provide details below to improve the information on THERESA JACKSON.
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.