Individual
CHRISTINA KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1021 BLOSSOM HILL RD STE 20, SAN JOSE, CA 95123-1188
(408) 459-9916
Mailing address
562 SARATOGA AVE, SANTA CLARA, CA 95050-6948
(408) 823-5876
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5855
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199888
AMERICAN MASSAGE THERAPY ASSOCIATION (AMTA)
—
01
—
5855
CALIFORNIA MASSAGE THERAPY COUNCIL (CAMTC)
CA
01
—
772601
NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK (NCBTMB)
—
Enumeration date
10/18/2024
Last updated
10/18/2024
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