Individual provider · Type 1 NPI

Selia Rene Jimenez, LMT

Massage Therapist · Big Bear Lake, CA

NPI number 1780474247 Active

Practice location

40585 Big Bear Blvd Ste 4
Big Bear Lake, CA 92315-2171

Mailing address

PO Box 5175
Sugarloaf, CA 92386-0875

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11572 (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 1780474247

Selia Rene Jimenez, LMT's National Provider Identifier is 1780474247, issued on May 8, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Big Bear Lake, CA. The record was last updated on May 8, 2025.