Individual
TIRZAH KATHERINE ATENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
635 BAIR ISLAND RD, REDWOOD CITY, CA 94063-2771
(650) 464-2817
Mailing address
635 BAIR ISLAND RD, REDWOOD CITY, CA 94063-2771
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12219
CA
Other
Enumeration date
03/02/2011
Last updated
12/29/2015
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