Individual
BRENT ALLEN JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
2895 CHURN CREEK RD STE D, REDDING, CA 96002-1158
(937) 952-8709
Mailing address
3583 BEARWOOD PL, ANDERSON, CA 96007-4717
(937) 952-8709
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
98592
CA
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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