Kendra Gail Stidolph, HHP
Massage Therapist in Carlsbad, CA. Individual provider (NPI-1).
NPI number1730426966
StatusActive
Last updated in NPPESJan 8, 2013
Details
- NPI
- 1730426966
- Entity type
- Individual (NPI-1)
- Name
- Kendra Gail Stidolph
- Credential
- HHP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2013
- Last updated
- Jan 8, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
| 133NN1002X | Nutritionist, Nutrition, Education | – | – | |
| 146D00000X | Personal Emergency Response Attendant | – | – | |
| 374J00000X | Doula | – | – |
Practice location
800 Grand AveSte C12
Carlsbad, CA 92008-1808
Phone 760-275-2214
Mailing address
Po Box 1072Carlsbad, CA 92018-1072
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