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

Jacob Medvidovich, AMNT, CMT

Individual provider Massage Therapist · NPI 1184310930

Jacob Medvidovich, AMNT, CMT is a Massage Therapist in Santa Cruz, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

550 Water St
Santa Cruz, CA 95060-4124
Phone: (717) 645-9949
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5215 Scotts Valley Dr, Scotts Valley, CA 95066-3522 — (717) 645-9949

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 75498 (CA)

Record details

NPI number1184310930
Entity typeIndividual (Type 1)
GenderMale
Credentials AMNT , CMT
Sole proprietorYes
NPI enumeratedApril 14, 2023
Last updated in NPPESApril 14, 2023
Certification dateApril 14, 2023

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