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

Jason Scully

Individual provider Massage Therapist · NPI 1073111886

Jason Scully is a Massage Therapist in Fairfield, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

871 Sunset Ct
Fairfield, CA 94533-4145
Phone: (707) 971-6649
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 839445 (CA)

Record details

NPI number1073111886
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 14, 2020
Last updated in NPPESOctober 14, 2020
Certification dateOctober 13, 2020
Mailing address871 Sunset Ct, Fairfield, CA 94533-4145

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