IndividualActive
Steven Jackson, LMT
NPI 1255224960 · Massage Therapist · Pomeroy, WA
Provider details
- NPI number
- 1255224960
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA61679087 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
256 13th St
Pomeroy, WA 99347-1301
Phone: (509) 844-8189
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 887
Pomeroy, WA 99347-0887
Registry dates
- Enumerated
- 2025-06-02
- Last updated
- 2025-06-02
- Certified
- 2025-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.