Most Relevant Information
Provider Data
| NPI Number: | 1003202102 |
| Provider Name: | JODY TAYLOR |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 60452 |
Most Important Dates
| Enumeration Date: | 04/15/2015 |
| Last Updated: | 04/15/2015 |
Provider Practice Location
24910 LAS BRISAS RD
MURRIETA
CA
925624010
Practice Location Phone/Fax
| Phone: | 9512493622 |
| Fax: |
Provider Mailing Location
26490 ARBORETUM WAY UNIT 1406
MURRIETA
CA
925637269
Provider Mailing Phone/Fax
| Phone: | 9518524404 |
| Fax: |