IndividualActive
Nancy Jackson, LMT
NPI 1497157077 · Massage Therapist · Trail, OR
Provider details
- NPI number
- 1497157077
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 18436 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1010 Danconia Dr
Trail, OR 97541-9702
Phone: (541) 878-2869
Street-level locationGet directions
Mailing address
150 Schoolhouse Ln
Shady Cove, OR 97539-9401
Registry dates
- Enumerated
- 2014-09-25
- Last updated
- 2014-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.