Individual provider · Type 1 NPI

Jill Davenport, CMP

Massage Therapist · Los Angeles, CA

NPI number 1780936633 Active

Practice location

11965 Venice Blvd, Suite 209
Los Angeles, CA 90066-3979

Call (424) 209-9716 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X26982 (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 1780936633

Jill Davenport, CMP's National Provider Identifier is 1780936633, issued on Oct 2, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 2, 2012.