Michael Wolfes, CLMT
Contractor in Palm Desert, CA. Individual provider (NPI-1).
NPI number1245308501
StatusActive
Last updated in NPPESApr 14, 2022
Details
- NPI
- 1245308501
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Wolfes
- Credential
- CLMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 2, 2006
- Certification date
- Aug 7, 2021
- Last updated
- Apr 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 00000000 | CA | Yes |
| 225700000X | Massage Therapist | – | CA |
Practice location
35957 Palomino WayPalm Desert, CA 92211-2642
Phone 760-898-9231
Mailing address
35957 Palomino WayPalm Desert, CA 92211-2642
Phone 760-898-9231
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