OrganizationActive
Massage Revolution
NPI 1053754580 · Specialist · Jackson, MS
Massage Revolution is a Specialist organization in Jackson, MS (NPI 1053754580).
Provider details
- NPI number
- 1053754580
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Laura Manning, Partner/Owner(601) 918-1853
- License
- LMT 2025 (MS)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
210 E Capitol St
Ste M-142
Jackson, MS 39201-2306
Phone: (601) 918-1853
Street-level locationGet directions
Mailing address
210 E Capitol St Ste M-142
Jackson, MS 39201-2306
Registry dates
- Enumerated
- 2013-04-15
- Last updated
- 2013-04-15
Frequently asked questions
- What is Massage Revolution's NPI number?
- Massage Revolution's National Provider Identifier (NPI) is 1053754580, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Massage Revolution?
- Massage Revolution is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Massage Revolution located?
- Massage Revolution's practice location on file with NPPES is 210 E Capitol St, Jackson, MS 39201-2306.
- What is Massage Revolution's phone number?
- The practice phone number listed in the NPPES registry for Massage Revolution is (601) 918-1853.
- Who is the authorized official for Massage Revolution?
- The authorized official listed on Massage Revolution's NPPES record is Laura Manning, Partner/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Massage Revolution's NPI active?
- Yes — Massage Revolution's NPI (1053754580) is active in the NPPES registry as of the last update on 2013-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.