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Jill Davenport, CMP
Massage Therapist in Los Angeles, California
NPI 1780936633

Jill Davenport is a Massage Therapist based in Los Angeles, CA. Jill Davenport practices in Los Angeles, CA and has the professional credentials of CMP. The NPI Number for Jill Davenport is 1780936633 and holds a License No. 26982 (California).

The current practice location address for Jill Davenport is 11965 Venice Blvd, Los Angeles, CA and can be reached out via phone at 424-209-9716.

Location: 11965 Venice Blvd, Los Angeles, CA, 90066-3979
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780936633
Provider Name
Jill Davenport
Credential
CMP
Provider Entity Type
Individual
Gender
Female
Address
11965 Venice Blvd, Los Angeles, CA, 90066-3979
Phone Number
424-209-9716
Fax Number
Provider Enumeration Date
10/02/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11965 Venice Blvd
City
Los Angeles
State
California
Zip
90066-3979
Phone Number
424-209-9716
Fax Number
person
Provider Business Mailing Address Details
Address
11965 Venice Blvd
City
Los Angeles
State
California
Zip
90066-3979
Phone Number
424-209-9716
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
26982 (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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