Individual
SONIA ALESE KILLSGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, B.S. KINSIOLOGY
Contact information
Practice address
1003 10TH ST STE B-7, MODESTO, CA 95354-0849
(209) 818-8869
Mailing address
1003 10TH ST STE B-7, MODESTO, CA 95354-0849
(209) 818-8869
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18306
CA
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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