Individual provider · NPI-1

Anastasiya Terentyeva, MS, LMT, CMT, HHPC

Massage Therapist · Indio, CA

NPI number1194477984
StatusActive
Last updated in NPPESAug 10, 2023

Details

NPI
1194477984
Entity type
Individual (NPI-1)
Name
Prof. Anastasiya Terentyeva
Credential
MS, LMT, CMT, HHPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 22, 2022
Certification date
Aug 10, 2023
Last updated
Aug 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist93367CAYes
171400000X Health & Wellness Coach–CA
174H00000X Health Educator–CA
251V00000X Voluntary or Charitable–CA

Practice location

82165 Doctor Carreon Blvd Apt 3d1
Indio, CA 92201-5878

Phone 917-544-4302

Mailing address

82165 Doctor Carreon Blvd Apt 3d1
Indio, CA 92201-5878

Phone 917-544-4302

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