Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Calvin Jackson

Individual provider Massage Therapist · NPI 1053701003

Calvin Jackson is a Massage Therapist in Monroe, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2015

Practice location Address checks out

101 E Main St Ste 201
Monroe, WA 98272-1519
Phone: (360) 863-0642
Fax: (360) 794-7236
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA60431582 (WA)

Record details

NPI number1053701003
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 29, 2015
Last updated in NPPESJanuary 29, 2015

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