Jackson Spa LLC
Jackson Spa LLC is a healthcare organization registered as Massage Therapist in Jackson, TN, holding Type 2 (organization) NPI 1932089091 since 2025. The authorized official on file is Kellie Wallace-Wilding, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1932089091 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Spa LLC |
| Practice address | 31 WILEY PARKER RD STE H, Jackson, TN, 38305 |
| Phone | 0 |
| Enumeration date | 2025-09-08 |
| Last updated in NPPES | 2025-09-08 |
Authorized official
| Name | Kellie Wallace-Wilding |
|---|---|
| Title | Owner |
| Phone | 9012291744 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225700000X | Massage Therapist | Primary | — | — |
Copy-ready billing details
Provider: Jackson Spa LLC NPI: 1932089091 Taxonomy: 225700000X (Massage Therapist) Address: 31 WILEY PARKER RD STE H, Jackson, TN, 38305
Verify this record
Cross-check NPI 1932089091 against the authoritative CMS record: view Jackson Spa LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Jackson Spa LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-08.