Individual provider · Type 1 NPI

Jared Phoenix Stohlman

Massage Therapist · Folsom, CA

NPI number 1891546917 Active

Practice location

404 Tobrurry Way
Folsom, CA 95630-6337

Mailing address

2795 E Bidwell St Ste 100
Folsom, CA 95630-6480

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X95966 (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 1891546917

Jared Phoenix Stohlman's National Provider Identifier is 1891546917, issued on Mar 27, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Folsom, CA. The record was last updated on Mar 27, 2024.