JASON SCULLY
NPI 1073111886
Massage Therapist in Fairfield, CA
About Jason Scully NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON SCULLY (NPI 1073111886) is an individual massage therapist in Fairfield, California, licensed in California (839445) and active in the NPI registry since October 2020.
NPPES Registry Identity
Specialties & Licenses
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 Jason Scully's NPI number?
The NPI number for Jason Scully is 1073111886. It was assigned to this individual provider in the NPPES registry on October 14, 2020.
Where is Jason Scully located?
Jason Scully practices at 871 Sunset Ct, Fairfield, CA 94533. The listed phone number is (707) 971-6649.
What is Jason Scully'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 Jason Scully was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jason Scully · NPI 1073111886
Massage Therapist provider in Fairfield, California. Individual provider, active in the CMS NPPES registry since October 14, 2020.
## Identity
- **NPI:** 1073111886 (Entity type: Individual)
- **Enumerated:** October 14, 2020
- **Primary specialty:** Massage Therapist · taxonomy 225700000X
- **State license:** 839445 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 871 SUNSET CT, Fairfield, CA 94533-4145
- **Phone:** (707) 971-6649
## Record status
- **NPPES last updated:** October 14, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1073111886) · Data from the CMS NPPES public registry.