Individual
JAKE COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAMTC, CMT
Contact information
Practice address
3633 MARCONI AVE, SACRAMENTO, CA 95821-5309
(916) 402-2376
Mailing address
3024 HANDEL WAY, SACRAMENTO, CA 95826-4231
(916) 402-2376
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
92617
CA
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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