Individual provider · Type 1 NPI

Jaiden Danee Fraire

Massage Therapist · Los Angeles, CA

NPI number 1083512917 Active

Practice location

1909 N Beachwood Dr
Los Angeles, CA 90068-4092

Call (915) 540-9376 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X101154 (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 1083512917

Jaiden Danee Fraire's National Provider Identifier is 1083512917, issued on Oct 29, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 29, 2026.