Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710562863 Individual Practitioner Male Practitioner

Kodi Jackson , LMT

Massage Therapist • Cibolo, TX

Professional Overview & Biography Verified Profile Summary

Kodi Jackson, LMT is a registered healthcare professional specializing in Massage Therapist in Cibolo, TX. Practice services are available at 248 KIPPER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

248 Kipper Ave

Cibolo, TX 781084324

Telephone 2103157510

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Cibolo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Cibolo, TX (3157 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: 2021-03-10
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License TX MT127777

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 March 10, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2021

Registered at 248 KIPPER AVE, CIBOLO, TX 781084324 (Tel: 2103157510)

📍
Updated Business Mailing Address March 10, 2021

Registered at 248 KIPPER AVE, CIBOLO, TX 781084324 (Tel: 2103157510)

👤
Provider Name / Credentials Updated March 10, 2021

Recorded as KODI JACKSON, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2021

Massage Therapist (License #MT127777 in TX)

🟢
Initial NPI Registration & Enumeration March 10, 2021

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: 1710562863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2021
Last Update: March 10, 2021
Sole Proprietor: Yes

Mailing Address

248 Kipper Ave

Cibolo, TX 781084324

Phone: 2103157510

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.