Individual
ELIZABETH TIS SLEETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, MA
Contact information
Practice address
16275 LOS GATOS BLVD, LOS GATOS, CA 95032-4519
(408) 402-0210
(408) 402-0510
Mailing address
633 S 13TH ST, SAN JOSE, CA 95112-2364
(408) 279-2863
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
140008
CA
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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