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

Jody M Jackson

Individual provider Mechanotherapist · NPI 1407235922

Jody M Jackson is a Mechanotherapist in West St Paul, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015
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Practice location Address checks out

33 Wentworth Ave E Ste 240
West St Paul, MN 55118-3431
Phone: (612) 770-7565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mechanotherapist (primary) Taxonomy 172M00000X · Licence 153830-6 (MN)

Record details

NPI number1407235922
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 29, 2015
Last updated in NPPESDecember 26, 2015