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

Individual provider Massage Therapist · NPI 1972110740

Jessica Brooke Tavison, LMT is a Massage Therapist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

3811 Marquette Pl Apt 4X
San Diego, CA 92106-1073
Phone: (480) 696-0291
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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 83837 (CA)

Record details

NPI number1972110740
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedSeptember 25, 2020
Last updated in NPPESSeptember 25, 2020
Certification dateSeptember 25, 2020

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