Individual provider · Type 1 NPI
Jillian Leilyn Manley, CMT
Massage Therapist · Sebastopol, CA
NPI number
1164289740
Active
Practice location
103 Morris St Ste A1
Sebastopol, CA 95472-3850
Mailing address
3291 Frei Rd
Sebastopol, CA 95472-2303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 84156 (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 1164289740
Jillian Leilyn Manley, CMT's National Provider Identifier is 1164289740, issued on Feb 29, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sebastopol, CA. The record was last updated on Feb 29, 2024.