Individual provider · Type 1 NPI
Jeyreen Zareen Theophile Ponder
Massage Therapist · Fremont, CA
NPI number
1922814516
Active
Practice location
3727 Village Ter Apt 178
Fremont, CA 94536-7517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 97992 (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 1922814516
Jeyreen Zareen Theophile Ponder's National Provider Identifier is 1922814516, issued on Dec 9, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fremont, CA. The record was last updated on Dec 9, 2024.