Individual
THERESA KAMLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
750 LAS GALLINAS AVE, SUITE 202, SAN RAFAEL, CA 94903-3438
(415) 299-2440
Mailing address
750 LAS GALLINAS AVE, SUITE 202, SAN RAFAEL, CA 94903-3438
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
3576
HI
225700000X
Massage Therapist
Primary
3658
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3658
CALIFORNIA MASSAGE THERAPY COUNCIL
CA
Enumeration date
02/08/2011
Last updated
02/08/2011
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