Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053701003 Individual Practitioner Male Practitioner

Calvin Jackson

Massage Therapist • Monroe, WA

Professional Overview & Biography Verified Profile Summary

Calvin Jackson is a registered healthcare professional specializing in Massage Therapist in Monroe, WA. Practice services are available at 101 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 E Main St
Ste 201

Monroe, WA 982721519

Telephone 3608630642
Fax 3607947236
Associated Practice Facility / Clinic
🏢 Monroe Therapeutic Massage Ps Facility NPI 1275749996

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Monroe, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
120 Specialists

Practicing in Monroe, WA (13385 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

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WA MA60431582

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
David Robison , LMP

Massage Therapist

NPI 1013258235

Licensed Massage Practitioner

Glyn Desmond , LMP

Massage Therapist

NPI 1023233814

Licensed Massage Practitioner

Charlene Wahl , LMP

Massage Therapist

NPI 1043437833

Licensed Massage Practitioner

Chris Officer , LMP

Massage Therapist

NPI 1124435938

Licensed Massage Practitioner

Colleen Wohlford , LMP

Massage Therapist

NPI 1134283708

Licensed Massage Practitioner

Dwaine Breed , LMP

Massage Therapist

NPI 1144558214

Licensed Massage Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 29, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 29, 2015

Registered at 101 E MAIN ST, STE 201, MONROE, WA 982721519 (Tel: 3608630642)

📍
Updated Business Mailing Address January 29, 2015

Registered at PO BOX 14072, MILL CREEK, WA 980822072

👤
Provider Name / Credentials Updated January 29, 2015

Recorded as CALVIN JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2015

Massage Therapist (License #MA60431582 in WA)

🟢
Initial NPI Registration & Enumeration January 29, 2015

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: 1053701003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2015
Last Update: January 29, 2015
Sole Proprietor: Yes

Mailing Address

Po Box 14072

Mill Creek, WA 980822072

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.