CORALIE JENNER CMT, LMT, HHP
NPI 1962944157
Massage Therapist in Santa Rosa, CA

Q: What is Coralie Jenner's NPI number?

The NPI number for Coralie Jenner is 1962944157. It was assigned to this individual provider in the NPPES registry on November 6, 2016.

Q: What is Coralie Jenner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Coralie Jenner was last updated on May 18, 2021. 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.

Active since November 06, 2016

418 AVIATION BLVD STE D, SANTA ROSA, CA 95403(707) 486-9846 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2021, Mar 7, 2018, Nov 6, 2016 (3 updates tracked since 2016).

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About Coralie Jenner Cmt, Lmt, Hhp NPPES

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

CORALIE JENNER CMT, LMT, HHP (NPI 1962944157) is an individual massage therapist in Santa Rosa, California, licensed in California (74620) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1962944157

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameCORALIE JENNERCredential: CMT, LMT, HHP

Location Address418 AVIATION BLVD STE DSanta Rosa, CA 95403-1074

Mailing Address1023 Maxwell StHealdsburg, CA 95448-3533 · (707) 486-9846

Phone(707) 486-9846

Sole ProprietorNo

Enumeration DateNovember 6, 2016

Last NPPES UpdateMay 18, 20213 updates tracked since enumeration

NPPES CertifiedOctober 25, 2020

✔ NPI 1962944157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in CA · 74620

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.

Also ListedHealth EducatorTaxonomy 174H00000X

418 AVIATION BLVD STE D, Santa Rosa, CA 95403

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA PEREZ LMT, CMT

Massage Therapist

418 AVIATION BLVD STE D
SANTA ROSA, CA 95403

Sonoma County (707) 541-6258

MASSAGE FOR ATHLETES, INC.

Massage Therapist

418 AVIATION BLVD STE D
SANTA ROSA, CA 95403

Sonoma County (707) 541-6258

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 Coralie Jenner's NPI number?

The NPI number for Coralie Jenner is 1962944157. It was assigned to this individual provider in the NPPES registry on November 6, 2016.

Where is Coralie Jenner located?

Coralie Jenner practices at 418 Aviation Blvd Ste D, Santa Rosa, CA 95403. The listed phone number is (707) 486-9846.

What is Coralie Jenner'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 Coralie Jenner was last updated on May 18, 2021. 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.