Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackson Wise

Individual provider Massage Therapist · NPI 1427772656

Jackson Wise is a Massage Therapist in Santa Clara, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
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Practice location Address checks out

3484 Monroe St Apt 5
Santa Clara, CA 95051-1434
Phone: (805) 341-7751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 4467 (CA)

Record details

NPI number1427772656
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 30, 2022
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022
Mailing address3484 Monroe St Apt 5, Santa Clara, CA 95051-1434

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