Healthcare Provider Details

I. General information

NPI: 1073469508
Provider Name (Legal Business Name): HOUSE OF REJUVENATE MASSAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 SUTTER ST STE 800
SAN FRANCISCO CA
94108-4325
US

IV. Provider business mailing address

391 SUTTER ST STE 800
SAN FRANCISCO CA
94108-4325
US

V. Phone/Fax

Practice location:
  • Phone: 415-606-9177
  • Fax:
Mailing address:
  • Phone: 415-606-9177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. JUTHAMAS JAIKLAM
Title or Position: OWNER
Credential:
Phone: 415-624-4679