SHANETTE JACKSON – Massage Therapist, NPI 1073045050

SHANETTE JACKSON is a healthcare provider. based in Kenai, Alaska. specializing in Massage Therapist. They hold a License No. 128047 (AK). The NPI Number for SHANETTE JACKSON is 1073045050

Main info

Female
Sole Proprietor
Name
SHANETTE JACKSON
NPI
1073045050
Phone
(907) 416-8276
Address
602 FRONTAGE ROAD, STE.206
Enumeration Date
30 March 2017
Last Update Date
15 April 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for SHANETTE JACKSON

  • 602 FRONTAGE ROAD, STE.206

    KENAI, AK 99611

    Phone: (907) 416-8276

    Type: Location

  • Kenai Spur Highway, Soldotna, Kenai Peninsula, Alaska, United States

    35060 KENAI SPUR HWY, SOLDOTNA, AK 99669

    SOLDOTNA, AK 996697656

    Phone: (907) 420-4949

    Type: Mailing

  • 10672 KENAI SPUR HWY STE 112

    KENAI, AK 996117868

    Phone: (907) 513-2467

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99611)

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Reviews

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Frequently asked questions

Is SHANETTE JACKSON listed with a National Provider Identifier?
Yes — SHANETTE JACKSON has NPI 1073045050 on file in the registry.
Is there an active status for SHANETTE JACKSON?
For scheduling context, SHANETTE JACKSON is shown as active in the registry.
What area of care is associated with SHANETTE JACKSON?
SHANETTE JACKSON's record emphasizes Massage Therapist. Clinical services aligned with this taxonomy classification.
Is SHANETTE JACKSON associated with Kenai?
Public fields place SHANETTE JACKSON around Kenai, Alaska. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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