IndividualActive
Elizabeth Jackson, LIC. MASSAGE THERAPI
NPI 1104091784 · Specialist · Portland, ME
Elizabeth Jackson, LIC. MASSAGE THERAPI is a Specialist provider in Portland, ME (NPI 1104091784).
Provider details
- NPI number
- 1104091784
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LIC. MASSAGE THERAPI
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT3127 (ME)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
94 Auburn St Ste 106
Portland, ME 04103-2141
Phone: (207) 878-3003
Fax: (207) 878-3004
Street-level locationGet directions
Mailing address
94 Auburn St
Portland, ME 04103-2141
Registry dates
- Enumerated
- 2008-04-24
- Last updated
- 2008-12-08
Frequently asked questions
- What is Elizabeth Jackson's NPI number?
- Elizabeth Jackson's National Provider Identifier (NPI) is 1104091784, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elizabeth Jackson's specialty?
- Elizabeth Jackson is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Elizabeth Jackson located?
- Elizabeth Jackson's practice location on file with NPPES is 94 Auburn St Ste 106, Portland, ME 04103-2141.
- What is Elizabeth Jackson's phone number?
- The practice phone number listed in the NPPES registry for Elizabeth Jackson is (207) 878-3003.
- Is Elizabeth Jackson's NPI active?
- Yes — Elizabeth Jackson's NPI (1104091784) is active in the NPPES registry as of the last update on 2008-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.