Provider Demographics
NPI:1376364828
Name:HOLMQUIST, JANE D (CMT)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:D
Last Name:HOLMQUIST
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:D
Other - Last Name:HEIMBICHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CMT
Mailing Address - Street 1:4177 STOWE WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-6057
Mailing Address - Country:US
Mailing Address - Phone:916-759-0597
Mailing Address - Fax:
Practice Address - Street 1:3000 ARDEN WAY STE 1
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-2000
Practice Address - Country:US
Practice Address - Phone:916-488-5560
Practice Address - Fax:916-488-5597
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA97598225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty