Shanette Jackson
NPI 1073045050 · Massage Therapist · Kenai, AK
Shanette Jackson is a Massage Therapist provider in Kenai, AK (NPI 1073045050).
Provider details
- NPI number
- 1073045050
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 128047 (AK)
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-03-30
- Last updated
- 2025-04-15
- Certified
- 2025-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.