Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN FANNO, CMT
Active Sole ProprietorJACQUELYN FANNO, CMT is a Massage Therapist healthcare provider located in TARZANA, California. NPI 1811646433 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · TARZANA, CA
Registration Details
- NPI Number
- 1811646433
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 21, 2022 (4.389049112572 yrs)
- Last Updated
- Mar 21, 2022
- License
-
25356 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18630 BURBANK BLVD APT 209TARZANA, CA, 913562660Browse CA providers · Browse ZIP 91356
- Phone
- 8185145728
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in TARZANA, CA
| Name | Credential | NPI |
|---|---|---|
| JASON VILLALOBOS | — | 1316457658 |
| NATTHANAN THIRARUTNALINTHANA | — | 1659097210 |
| TASHA BRUER | — | 1255153987 |
| MRS. JOSELIN ELIZABETH CARRANZA | CMT | 1205630845 |
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.