Individual provider · Type 1 NPI

Jeanelle Diaz, CMT

Massage Therapist · San Bruno, CA

NPI number 1023368149 Active

Practice location

654 Jenevein Ave
San Bruno, CA 94066-4230

Mailing address

29 Morton Dr
Daly City, CA 94015-4415

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1023368149

Jeanelle Diaz, CMT's National Provider Identifier is 1023368149, issued on Sep 17, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Bruno, CA. The record was last updated on Sep 17, 2012.