Most Relevant Information
Provider Data
| NPI Number: | 1003464645 |
| Provider Name: | JED BENTLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/27/2019 |
| Last Updated: | 08/27/2019 |
Provider Practice Location
543 CASTRO ST
SAN FRANCISCO
CA
941142511
Practice Location Phone/Fax
| Phone: | 4154505723 |
| Fax: |
Provider Mailing Location
34 LAS PALOMAS
ORINDA
CA
945631916
Provider Mailing Phone/Fax
| Phone: | 4154505723 |
| Fax: |