Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLYN TAN JACKSON, MT
Active Sole ProprietorKATHLYN TAN JACKSON, MT is a Massage Therapist healthcare provider located in FOUNTAIN VALLEY, California. NPI 1205421526 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · FOUNTAIN VALLEY, CA
Registration Details
- NPI Number
- 1205421526
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 8, 2021 (5.4051452230404 yrs)
- Last Updated
- Mar 8, 2021
- License
-
39797 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11770 WARNER AVE STE 123FOUNTAIN VALLEY, CA, 927082660Browse CA providers · Browse ZIP 92708
- Phone
- 7142777169
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in FOUNTAIN VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| THUY MAI | CAMTC | 1568729838 |
| BENJAMIN EDWARD BRODIE | CMT, NMT | 1467927186 |
| CLAUDIA V AGUILAR | MASSAGE THERAPIST | 1871103473 |
| ELIZABETH NGUYEN | LMT | 1063022663 |
| MR. WILLIAM JOSEPH THERIAULT | MASSAGE PRACTITIONE | 1366054215 |
| KAREN SCORAH | — | 1982293080 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.