Individual
MR. JASON WADE KNISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
855 EL CAMINO REAL STE 13A-251, PALO ALTO, CA 94301-2305
(650) 564-3375
Mailing address
855 EL CAMINO REAL STE 13A-251, PALO ALTO, CA 94301-2305
(650) 564-3375
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2722
CA
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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