Individual provider · Type 1 NPI
Jennifer Fuller
Massage Therapist · Ontario, CA
NPI number
1457029175
Active
Practice location
763 E 5th St
Ontario, CA 91764-2439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 86358 (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 1457029175
Jennifer Fuller's National Provider Identifier is 1457029175, issued on Aug 30, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ontario, CA. The record was last updated on Aug 30, 2021.