Healthcare Provider Details

I. General information

NPI: 1679387047
Provider Name (Legal Business Name): JENNIFER M HOVIS CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

856 HEALTH SCIENCES RD STE 2600
IRVINE CA
92617-3058
US

IV. Provider business mailing address

2510 S IRMA ST
VISALIA CA
93292-1382
US

V. Phone/Fax

Practice location:
  • Phone: 949-824-7000
  • Fax:
Mailing address:
  • Phone: 559-972-2984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number47224
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: