Individual provider · Type 1 NPI

Jason Goodbrake, CMT, SI

Massage Therapist · Mc Lean, VA

NPI number 1710351671 Active

Practice location

1485 Chain Bridge Rd Ste 101
Mc Lean, VA 22101-4513

Call (334) 301-2710 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019007563 (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 1710351671

Jason Goodbrake, CMT, SI's National Provider Identifier is 1710351671, issued on Nov 16, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mc Lean, VA. The record was last updated on Nov 16, 2015.