Alicia J Jackson, MASSAGE THERAPIST - Massage Therapist in Oklahoma City, OK

Alicia J Jackson, MASSAGE THERAPIST is a Massage Therapist based in Oklahoma City, Oklahoma. Alicia J Jackson is licensed to practice in Oklahoma (license number OCC04318) and her current practice location is 11200 N Portland Ave, Oklahoma City, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (405) 936-1550.

NPI number for Alicia J Jackson is 1902245988 and her current mailing address is 508 Brighton Dr, Edmond, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902245988.

Contact Information

Alicia J Jackson, MASSAGE THERAPIST
11200 N Portland Ave,
Oklahoma City, OK 73120-5045
(405) 936-1550
(405) 936-1559

Map and Direction




Healthcare Provider's Profile

Full NameAlicia J Jackson
GenderFemale
SpecialityMassage Therapist
Location11200 N Portland Ave, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902245988
  • Provider Enumeration Date: 06/23/2013
  • Last Update Date: 06/23/2013

Medical Identifiers

Medical identifiers for Alicia J Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902245988NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist OCC04318 (Oklahoma)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alicia J Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alicia J Jackson, MASSAGE THERAPIST
508 Brighton Dr,
Edmond, OK 73003-3169

Ph: (405) 204-0505
Alicia J Jackson, MASSAGE THERAPIST
11200 N Portland Ave,
Oklahoma City, OK 73120-5045

Ph: (405) 936-1550

Reviews and Comments


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