Individual
GUY TIMOTHY TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
126 S LA SALLE ST, REDLANDS, CA 92374-5536
(909) 831-5637
Mailing address
126 S LA SALLE ST, REDLANDS, CA 92374-5536
(909) 831-5637
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
91822
CA
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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