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Jackson Wise
Massage Therapist in Santa Clara, California
NPI 1427772656

Jackson Wise is a Massage Therapist based in Santa Clara, CA. Jackson Wise practices in Santa Clara, CA. The NPI Number for Jackson Wise is 1427772656 and holds a License No. 4467 (California).

The current practice location address for Jackson Wise is 3484 Monroe St Apt 5, Santa Clara, CA and can be reached out via phone at 805-341-7751.

Location: 3484 Monroe St Apt 5, Santa Clara, CA, 95051-1434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427772656
Provider Name
Jackson Wise
Credential
Provider Entity Type
Individual
Gender
Male
Address
3484 Monroe St Apt 5, Santa Clara, CA, 95051-1434
Phone Number
805-341-7751
Fax Number
Provider Enumeration Date
09/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3484 Monroe St Apt 5
City
Santa Clara
State
California
Zip
95051-1434
Phone Number
805-341-7751
Fax Number
person
Provider Business Mailing Address Details
Address
3484 Monroe St Apt 5
City
Santa Clara
State
California
Zip
95051-1434
Phone Number
805-341-7751
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
4467 (California)
Definition
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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