Individual provider · Type 1 NPI
Jacob Campbell
Massage Therapist · Venice, CA
NPI number
1477461978
Active
Practice location
1600 Main St
Venice, CA 90291-3626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 46751 (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 1477461978
Jacob Campbell's National Provider Identifier is 1477461978, issued on Aug 28, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Venice, CA. The record was last updated on Aug 28, 2026.