Organization
CLINICAL MASSAGE THERAPY ROCKLIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARISA CLEMENTS (MASSAGE THERAPIST)
(916) 865-6679
Entity
Organization
Contact information
Practice address
5714 LONETREE BLVD, ROCKLIN, CA 95765-3734
(916) 259-2510
Mailing address
1409 MONICAS GARDEN PL, ROSEVILLE, CA 95747-6610
(916) 865-6679
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26867
CA
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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