KRISTA JAYLENE CORDOVA
NPI 1952111551
Massage Therapist in Ventura, CA
Active since January 07, 2025
1730 S VICTORIA AVE., STE. B, STUDIO # 12, VENTURA, CA 93003(951) 440-7651 Get Directions Write a Review
About Krista Jaylene Cordova NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTA JAYLENE CORDOVA (NPI 1952111551) is an individual massage therapist in Ventura, California, licensed in California (84188) and active in the NPI registry since January 2025.
NPPES Registry Identity
NPI1952111551
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKRISTA JAYLENE CORDOVA
Location Address1730 S VICTORIA AVE., STE. B, STUDIO # 12Ventura, CA 93003
Mailing Address1730 S Victoria Ave., Ste. B, Studio # 12Ventura, CA 93003 · (951) 440-7651
Phone(951) 440-7651
Sole ProprietorYes
Enumeration DateJanuary 7, 2025
Last NPPES UpdateJanuary 8, 2025
NPPES CertifiedJanuary 8, 2025
✔ NPI 1952111551 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 · 84188
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.
1730 S VICTORIA AVE., Ventura, CA 93003
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952111551, enumerated as an "individual" on January 07, 2025.
The provider is located at 1730 S VICTORIA AVE. STE. B, STUDIO # 12 VENTURA, CA 93003 and the phone number is (951) 440-7651.
Massage Therapist with taxonomy code 225700000X.