Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740159656 Individual Practitioner Female Practitioner

Miranda Jacko

Massage Therapist • Lithonia, GA

Professional Overview & Biography Verified Profile Summary

Miranda Jacko is a registered healthcare professional specializing in Massage Therapist in Lithonia, GA. Practice services are available at 7245 ROCKBRIDGE RD STE 600 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7245 Rockbridge Rd Ste 600

Lithonia, GA 300588615

Telephone 4704150471

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Lithonia, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
15 Specialists

Practicing in Lithonia, GA (1356 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-30
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License GA MT015470

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 30, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2025

Registered at 7245 ROCKBRIDGE RD STE 600, LITHONIA, GA 300588615 (Tel: 4704150471)

📍
Updated Business Mailing Address October 30, 2025

Registered at 615 OAKVIEW TRL, STONE MOUNTAIN, GA 300876611 (Tel: 4704489452)

👤
Provider Name / Credentials Updated October 30, 2025

Recorded as MIRANDA JACKO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2025

Massage Therapist (License #MT015470 in GA)

🟢
Initial NPI Registration & Enumeration October 30, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740159656
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2025
Last Update: October 30, 2025
Sole Proprietor: No

Mailing Address

615 Oakview Trl

Stone Mountain, GA 300876611

Phone: 4704489452

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.