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

Individual provider Massage Therapist · NPI 1215541487

Jennifer Rae Fairbairn, CMT is a Massage Therapist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

2470 Chanate Rd
Santa Rosa, CA 95404-2110
Phone: (707) 326-5373
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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 31385 (CA)

Record details

NPI number1215541487
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMT
Sole proprietorYes
NPI enumeratedSeptember 3, 2020
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020

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