Individual provider · Type 1 NPI
Jackelyn Hernandez, CMT
Massage Therapist · Modesto, CA
NPI number
1013808682
Active
Practice location
808 Mercy Ave
Modesto, CA 95358-1451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 86015 (CA) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1013808682
Jackelyn Hernandez, CMT's National Provider Identifier is 1013808682, issued on Jul 11, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Modesto, CA. The record was last updated on Jul 11, 2025.