Individual provider · Type 1 NPI
Jonah Michael Glover, CMT
Massage Therapist · Shasta Lake, CA
NPI number
1568366151
Active
Practice location
4701 Main St
Shasta Lake, CA 96019-9765
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 99920 (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.
About NPI 1568366151
Jonah Michael Glover, CMT's National Provider Identifier is 1568366151, issued on Oct 6, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Shasta Lake, CA. The record was last updated on Oct 6, 2026.