Individual provider · Type 1 NPI
Melanie Renee Jaquess, CMT
Massage Therapist · San Diego, CA
NPI number
1083092308
Active
Practice location
3455 Meridian Ave
San Diego, CA 92115-7206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 57149 (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 1083092308
Melanie Renee Jaquess, CMT's National Provider Identifier is 1083092308, issued on May 7, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Diego, CA. The record was last updated on May 7, 2015.