DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASON GOODBRAKE, CMT, SI

Active Sole Proprietor

JASON GOODBRAKE, CMT, SI is a Massage Therapist healthcare provider located in MC LEAN, Virginia. NPI 1710351671 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · MC LEAN, VA

Registration Details

NPI Number
1710351671
Provider Type
Individual
Gender
Male
NPI Issued
Nov 16, 2015 (10.702934667775 yrs)
Last Updated
Nov 16, 2015
License
0019007563 (VA)
Sole Proprietor
Yes

Practice Information

Address
1485 CHAIN BRIDGE RD STE 101
MC LEAN, VA, 221014513
Browse VA providers · Browse ZIP 22101
Phone
3343012710
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in MC LEAN, VA

Name Credential NPI
CHRISTINA FATH L.M.T. 1649790734
YULLY LUDENA 1598233140
PAUL JOSEPH BEDNARSKI 1710594635
DR. AGNES ABIOLA OLUWATOYIN AWOMOYI 1952061335
MATTHEW B JEFFERSON MASSAGE THERAPIST 1952052490
MR. JOSEPH BRYAN PONCEJAN RAMOS LMT 1851044861
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.