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

MS. Elizabeth A Jackson, LICMASSAGETHERAPI

Individual provider Specialist · NPI 1104091784

MS. Elizabeth A Jackson, LICMASSAGETHERAPI is a Specialist in Portland, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2008

Practice location Address checks out

94 Auburn St Ste 106
Portland, ME 04103-2141
Phone: (207) 878-3003
Fax: (207) 878-3004
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MT3127 (ME)

Record details

NPI number1104091784
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICMASSAGETHERAPI
Sole proprietorYes
NPI enumeratedApril 24, 2008
Last updated in NPPESDecember 8, 2008

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