Individual
JACOB RYAN WAINSCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
2001 S BARRINGTON AVE STE 101, LOS ANGELES, CA 90025-5337
(310) 429-9385
Mailing address
8041 REDLANDS ST APT 2, PLAYA DEL REY, CA 90293-8356
(760) 382-1090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
90432
CA
Other
Enumeration date
07/24/2023
Last updated
01/30/2026
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