Misty D Jackson, MASSAGE THERAPIST

NPI #1154280758 in Huachuca City, Arizona

Provider Information

NPI Number: 1154280758
Entity Type: Individual
Name: Misty D Jackson, MASSAGE THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MASSAGE THERAPIST
Enumeration Date: Jan 19, 2026
Last Updated: Jan 19, 2026

Practice Location

Address: 1190 E SHADOW LN
City: Huachuca City
State: Arizona
ZIP Code: 85616-8441
Phone: (520) 559-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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