IndividualActive
Kimberly Jackson, LMT
NPI 1548432586 · Massage Therapist · Gray, GA
Provider details
- NPI number
- 1548432586
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT001628 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative 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
247 Lana Dr
Gray, GA 31032-5883
Phone: (478) 986-0484
Fax: (478) 986-0486
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1726
Gray, GA 31032-1726
Registry dates
- Enumerated
- 2008-03-31
- Last updated
- 2008-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.