Individual
MISTY D JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1190 E SHADOW LN, HUACHUCA CITY, AZ 85616-8441
(520) 559-4600
Mailing address
1190 E SHADOW LN, HUACHUCA CITY, AZ 85616-8441
(520) 559-4600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-05655
AZ
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us