# PROFESSIONAL MASSAGE GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528381571
- **Authorized official:** MS. TANYA SUE DELUCA C.M.T. (OWNER)
- **Authorized official phone:** (560) 891-8233

## Contact information

- **Practice address:** 2535 CEANOTHUS AVE, CHICO, CA 95973-7722
- **Practice address phone:** (530) 891-8233
- **Practice address fax:** (530) 891-1653
- **Mailing address:** PO BOX 393, CHICO, CA 95927-0393
- **Mailing address phone:** (530) 891-8233
- **Mailing address fax:** (530) 891-1653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 0400551 | CA | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 0400551 | CA | Yes |

## Other

- **Enumeration date:** 03/04/2010
- **Last updated:** 03/04/2010
