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

Mr. Keith Jenkins, CMT

Individual provider Massage Therapist · NPI 1114511474

Mr. Keith Jenkins, CMT is a Massage Therapist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

2180 Garnet Ave Ste 3L
San Diego, CA 92109-3676
Phone: (619) 204-5967
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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 59131 (CA)

Record details

NPI number1114511474
Entity typeIndividual (Type 1)
GenderMale
Credentials CMT
Sole proprietorYes
NPI enumeratedFebruary 25, 2021
Last updated in NPPESFebruary 25, 2021
Certification dateFebruary 25, 2021

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