| Jacob Campbell, | |
|
1600 Main St, Venice, CA 90291-3626 | |
| (310) 924-4913 | |
| Not Available |
| Full Name | Jacob Campbell |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 1600 Main St, Venice, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477461978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 46751 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Campbell, 1600 Main St, Venice, CA 90291-3626 Ph: (310) 924-4913 | Jacob Campbell, 1600 Main St, Venice, CA 90291-3626 Ph: (310) 924-4913 |
Hai Ou Dai, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Main St, Venice, CA 90291 Phone: 310-399-5566 |
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Andrew Tantisukarom, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2805 Abbot Kinney Blvd, Venice, CA 90291 Phone: 323-683-5074 |
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Massage One Wellness Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Main St # C12, Venice, CA 90291 Phone: 310-399-5566 |