Individual provider · Type 1 NPI

Jason Scully

Massage Therapist · Fairfield, CA

NPI number 1073111886 Active

Practice location

871 Sunset Ct
Fairfield, CA 94533-4145

Call (707) 971-6649 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X839445 (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 1073111886

Jason Scully's National Provider Identifier is 1073111886, issued on Oct 14, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fairfield, CA. The record was last updated on Oct 14, 2020.