Moon Leaf Derosier, CMT
Massage Therapist in Atascadero, CA. Individual provider (NPI-1).
NPI number1043663438
StatusActive
Last updated in NPPESJul 20, 2016
Details
- NPI
- 1043663438
- Entity type
- Individual (NPI-1)
- Name
- Moon Leaf Derosier
- Credential
- CMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2016
- Last updated
- Jul 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 10405 | CA | Yes |
Practice location
5960b West MallAtascadero, CA 93422-4232
Phone 415-706-6397
Mailing address
Po Box 4273Paso Robles, CA 93447-4273
Phone 415-706-6397
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Massage Therapist providers in Atascadero, CA
- Dori Dueck, LMTNPI 1386885408
- Jaclyn Joyner, CMTNPI 1164248035
- Katrina Marie PorterNPI 1902734221
- Niki Marie Torres, CMPNPI 1104705458
- Kimberly WallaceNPI 1609748748
All 6 Massage Therapist providers in Atascadero · All 1,176 providers in Atascadero
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.