Individual provider · Type 1 NPI

Jeffrey Brent Tanner

Massage Therapist · Virginia Beach, VA

NPI number 1598635898 Active

Practice location

1492 S Independence Blvd Ste 100
Virginia Beach, VA 23462-5252

Mailing address

1012 Valmire Dr
Chesapeake, VA 23320-4730

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019017830 (VA)

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 1598635898

Jeffrey Brent Tanner's National Provider Identifier is 1598635898, issued on Nov 11, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Virginia Beach, VA. The record was last updated on Nov 11, 2025.