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MR. MARK EDWARD VENNERHOLM II CMT
NPI 1053012443
Massage Therapist in Vista, CA

Active since March 13, 2023
2305 S MELROSE DR STE 103, VISTA, CA 92081(760) 230-3898 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mark Edward Vennerholm Ii Cmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK EDWARD VENNERHOLM II CMT (NPI 1053012443) is an individual massage therapist in Vista, California, licensed in California (93040) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1053012443
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. MARK EDWARD VENNERHOLM IICredential: CMT
Location Address2305 S MELROSE DR STE 103Vista, CA 92081-8789
Mailing Address208 B Ave Apt ACoronado, CA 92118-1998 · (940) 206-1838
Phone(760) 230-3898
Sole ProprietorYes
Enumeration DateMarch 13, 2023
NPPES CertifiedMarch 13, 2023
✔ NPI 1053012443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CA · 93040
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
2305 S MELROSE DR STE 103, Vista, CA 92081
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Vennerholm's NPI number?

The NPI number for Mark Vennerholm is 1053012443. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Mark Vennerholm located?

Mark Vennerholm practices at 2305 S Melrose Dr Ste 103, Vista, CA 92081. The listed phone number is (760) 230-3898.

What is Mark Vennerholm's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Mark Vennerholm was last updated on March 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.