Individual
KENNETH CESAR RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
5714 LONETREE BLVD, ROCKLIN, CA 95765-3734
(916) 259-2510
(916) 259-0073
Mailing address
5714 LONETREE BLVD, ROCKLIN, CA 95765-3734
(916) 259-2510
(916) 259-0073
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
89427
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89427
CAMTC
CA
Enumeration date
07/24/2022
Last updated
07/24/2022
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