Jackson Spa LLC
NPI 1932089091 · Massage Therapist · Jackson, TN
Jackson Spa LLC is a Massage Therapist organization in Jackson, TN (NPI 1932089091).
Provider details
- NPI number
- 1932089091
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kellie Wallace-Wilding, Owner(901) 229-1744
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Other names (DBA / former)
- Doing business as
- Jackson Massage and Day Spa
- Doing business as
- Cryosculpt
- Other name
- Reke
Registry dates
- Enumerated
- 2025-09-08
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Frequently asked questions
- What is Jackson Spa LLC's NPI number?
- Jackson Spa LLC's National Provider Identifier (NPI) is 1932089091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Spa LLC?
- Jackson Spa LLC is classified in the NPPES registry as Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jackson Spa LLC located?
- Jackson Spa LLC's practice location on file with NPPES is 31 Wiley Parker Rd Ste H, Jackson, TN 38305-5806.
- What is Jackson Spa LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Spa LLC is 0.
- Who is the authorized official for Jackson Spa LLC?
- The authorized official listed on Jackson Spa LLC's NPPES record is Kellie Wallace-Wilding, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Spa LLC's NPI active?
- Yes — Jackson Spa LLC's NPI (1932089091) is active in the NPPES registry as of the last update on 2025-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.