MR. JASON WADE KNISLEY CMT NPI 1548735681

NPI Information

NPI: 1548735681
Provider Name: MR. JASON WADE KNISLEY, CMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
855 EL CAMINO REAL STE 13A-251
PALO ALTO, CA
ZIP 94301
Phone: (650) 564-3375
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MR. Jason Wade Knisley, CMT is a massage therapist in Palo Alto, 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. MR. Jason Wade Knisley, CMT NPI is 1548735681. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

855 EL CAMINO REAL STE 13A-251
PALO ALTO, CA
ZIP 94301-305
Phone: (650) 564-3375

The enumeration date for this NPI number is 10/4/2018 and was last updated on 10/4/2018.

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		2722	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: 11/14/2023

NPI Synchronization or Removal

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