MICHELLE DESIRAE JEDLICK CMT NPI 1508439332

NPI Information

NPI: 1508439332
Provider Name: MICHELLE DESIRAE JEDLICK, CMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2850 W LINCOLN AVE APT B
ANAHEIM, CA
ZIP 92801
Phone: (714) 770-9104
Get Directions

Michelle Desirae Jedlick, CMT is a massage therapist in Anaheim, CA. The provider is 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. Michelle Desirae Jedlick, CMT NPI is 1508439332. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2850 W LINCOLN AVE APT B
ANAHEIM, CA
ZIP 92801-219
Phone: (714) 770-9104

The enumeration date for this NPI number is 7/20/2021 and was last updated on 7/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		85940	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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