MEDICARE: HEATHER LEANN JONES CMT

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	99591	CA

General Provider Information

NPI Number	:	1801789144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER LEANN JONES CMT

Provider Business Mailing Address
First Line	:	7095 ORCHARD STATION RD
Second Line	:
City	:	SEBASTOPOL
State	:	CA
Zip	:	95472-6253
Country	:	US
Telephone Number	:	971-241-6966
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 PETALUMA AVE STE 2F
Second Line	:
City	:	SEBASTOPOL
State	:	CA
Zip	:	95472-4234
Country	:	US
Telephone Number	:	971-241-6966
Fax Number	:

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

Provider Enumeration Date	:	06/03/2025
Last Update Date	:	06/03/2025

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