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Individual

MR. EVAN BACHELDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
1160 N DUTTON AVE, SANTA ROSA, CA 95401-4600
(707) 541-6258
Mailing address
830 LOUISA DR, SANTA ROSA, CA 95404-2829
(707) 480-4041

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
65917
CA

Other

Enumeration date
05/07/2026
Last updated
05/07/2026
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