Provider Demographics
NPI:1912798398
Name:SOLLER, JASMINEMARIE B (CMT, LMT)
Entity type:Individual
Prefix:
First Name:JASMINEMARIE
Middle Name:B
Last Name:SOLLER
Suffix:
Gender:F
Credentials:CMT, LMT
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:MARIE
Other - Last Name:SOLLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1830 OAK BLUFFS AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-7970
Mailing Address - Country:US
Mailing Address - Phone:408-605-6834
Mailing Address - Fax:
Practice Address - Street 1:1830 OAK BLUFFS AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-7970
Practice Address - Country:US
Practice Address - Phone:408-605-6834
Practice Address - Fax:408-605-6834
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNVMT.11598225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist