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

Jason Goodbrake, CMT, SI

Individual provider Massage Therapist · NPI 1710351671

Jason Goodbrake, CMT, SI is a Massage Therapist in Mc Lean, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2015

Practice location Address checks out

1485 Chain Bridge Rd Ste 101
Mc Lean, VA 22101-4513
Phone: (334) 301-2710
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 0019007563 (VA)

Record details

NPI number1710351671
Entity typeIndividual (Type 1)
GenderMale
Credentials CMT , SI
Sole proprietorYes
NPI enumeratedNovember 16, 2015
Last updated in NPPESNovember 16, 2015

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