Individual provider · Type 1 NPI
Coralie Jenner, CMT, LMT, HHP
Massage Therapist · Santa Rosa, CA
NPI number
1962944157
Active
Practice location
418 Aviation Blvd Ste D
Santa Rosa, CA 95403-1074
Mailing address
1023 Maxwell St
Healdsburg, CA 95448-3533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Educator | 174H00000X | None listed |
| Massage Therapist | 225700000X | None listed |
| Massage Therapist Primary | 225700000X | 74620 (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.
2 other providers at this address
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About NPI 1962944157
Coralie Jenner, CMT, LMT, HHP's National Provider Identifier is 1962944157, issued on Nov 6, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Santa Rosa, CA. The record was last updated on May 18, 2021.