MS. JENNIESE WHITE LMT NPI 1538889118

NPI Information

  • NPI: 1538889118
  • Provider Name: MS. JENNIESE WHITE, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 11 CANYON LAKE DR
    PORT COSTA, CA
    ZIP 94569
  • Phone: (415) 279-3410

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NPI Details

MS. Jenniese White, LMT is a massage therapist in Port Costa, 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. MS. Jenniese White, LMT NPI is 1538889118. 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:

11 CANYON LAKE DR
PORT COSTA, CA
ZIP 94569-003
Phone: (415) 279-3410

The enumeration date for this NPI number is 9/1/2022 and was last updated on 9/1/2022.

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
1225700000XMassage Therapist22654CALIFORNIAYes

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: 11/21/2025

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