MEDICARE: JACQUELYN CABRERA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	NVMT.133875	NV

General Provider Information

NPI Number	:	1063338341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELYN CABRERA

Provider Business Mailing Address
First Line	:	2329 EDENBORN AVE
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70001-1815
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 S JONES BLVD STE 201
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-2680
Country	:	US
Telephone Number	:	725-302-5780
Fax Number	:	725-900-1382

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2026
Last Update Date	:	06/29/2026

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Directions to “ JACQUELYN CABRERA ” Practice Location

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