Individual provider · Type 1 NPI

Jestyne Mae McCauley, LMT

Massage Therapist · Vancouver, WA

NPI number 1104587955 Active

Practice location

8221 NE Hazel Dell Ave
Vancouver, WA 98665-8153

Call (360) 334-6373 Map

Fax (360) 583-3559

Mailing address

8221 NE Hazel Dell Ave Ste 104
Vancouver, WA 98665-8153

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA61254488 (WA)

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 1104587955

Jestyne Mae McCauley, LMT's National Provider Identifier is 1104587955, issued on Jan 4, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Nov 28, 2022.