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JESSICA BROOKE TAVISON LMT
NPI 1972110740
Massage Therapist in San Diego, CA

Active since September 25, 2020
3811 MARQUETTE PL APT 4X, SAN DIEGO, CA 92106(480) 696-0291 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jessica Brooke Tavison Lmt NPPES

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

JESSICA BROOKE TAVISON LMT (NPI 1972110740) is an individual massage therapist in San Diego, California, licensed in California (83837) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1972110740
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJESSICA BROOKE TAVISONCredential: LMT
Location Address3811 MARQUETTE PL APT 4XSan Diego, CA 92106-1073
Mailing Address3811 Marquette Pl Apt 4xSan Diego, CA 92106-1073 · (480) 696-0291
Phone(480) 696-0291
Sole ProprietorYes
Enumeration DateSeptember 25, 2020
NPPES CertifiedSeptember 25, 2020
✔ NPI 1972110740 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 · 83837
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.
3811 MARQUETTE PL APT 4X, San Diego, CA 92106
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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 Jessica Tavison's NPI number?

The NPI number for Jessica Tavison is 1972110740. It was assigned to this individual provider in the NPPES registry on September 25, 2020.

Where is Jessica Tavison located?

Jessica Tavison practices at 3811 Marquette Pl Apt 4X, San Diego, CA 92106. The listed phone number is (480) 696-0291.

What is Jessica Tavison'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 Jessica Tavison was last updated on September 25, 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.