NPI age
— years
Enumerated 2025-10-30
● Active
Type 1 · Individual
Miranda Jacko
Jacko is 1 of 15 massage therapist providers in Lithonia and 1 of 1375 in Georgia.
Primary specialty
Massage Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1375 active massage therapist providers in Georgia.
NPI age
0 years
↓ 5 yr below median (5 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-10Enumerated in NPPES
2025
2026
Where they practice
Practice location
7245 Rockbridge Rd Ste 600
Lithonia, GA 300588615
Mailing address
615 Oakview Trl
Stone Mountain, GA 300876611
Specialties
-
Massage Therapist PrimaryAn 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.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.