Individual provider · Type 1 NPI

Maxwell Jared Church, CMT

Rehabilitation Practitioner · Santa Rosa, CA

NPI number 1578849022 Active

Practice location

100 Childrens Cir
Santa Rosa, CA 95409-6558

Call (707) 565-6300 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNONE

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1578849022

Maxwell Jared Church, CMT's National Provider Identifier is 1578849022, issued on Oct 28, 2011. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 10, 2026.