Individual
TAYLOR LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, CSCS, CMT, CEP
Contact information
Practice address
1009 2ND ST, SAN RAFAEL, CA 94901-3930
(559) 381-6124
Mailing address
1009 2ND ST, SAN RAFAEL, CA 94901-3930
(559) 381-6124
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
74953
CA
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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