P Praxis·MD
● Active Type 1 · Individual

Kimberly Renee Jackson, LMT

Massage Therapist·Coppell, TX· NPI 1639535719 · Enumerated 2016 · 10 years on NPI
Jackson is 1 of 8 massage therapist providers in Coppell and 1 of 3256 in Texas.
NPI age
10 years
Enumerated 2016-01-05
Primary specialty
Massage Therapist
Plus 1 subspecialty
Licensed in
TX, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2017-01-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3256 active massage therapist providers in Texas.

NPI age
10 years
↑ 7 yr above median (3 yr)
State licenses
2 states
Top 98% — 1% of peers are multi-state
Subspecialties
0
6% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-01Enumerated in NPPES
2016 2026

Where they practice

Practice location
9175 Cypress Waters Blvd Apt 102
Coppell, TX 750195068
📞 4044278793
Mailing address
9175 Cypress Waters Blvd Apt 102
Coppell, TX 750195068
📞 4044278793

Specialties

  • Massage Therapist Primary
    An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
    TX license #MT126228GA license #MT010418 taxonomy 225700000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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