Jacques Philippe Archer, CMT
Individual provider Active NPI Massage Therapist · Petaluma, CA
NPI 1811271075 · NPPES record last updated Oct 6, 2011
Key facts
- NPI
- 1811271075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 131B Kentucky St.
Petaluma, CA 94952 - Phone
- (707) 763-5777
- NPI assigned
- Oct 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Yes |
Addresses
Primary practice location
131B Kentucky St.
Petaluma, CA 94952
Mailing address
131B Kentucky Street
Petaluma, CA 94952
Phone (707) 763-5777
Other providers in Petaluma, CA
- Suzanne Aoyagi
- Alberto Aparicio
- Aptb, LLC
- Robin Kobrin Aquino
- Sonja M Aragon
- John Boghosian Arden
- Michelle Denise Arietta
- Kevon Kathrine Arthurs
- Asg Home Care LLC
- Andrew Burns Ashcroft
All providers in Petaluma, CA · Massage Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.