Individual
MARY KATHERINE RISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
5151 GOLDEN FOOTHILL PKWY STE 100, EL DORADO HILLS, CA 95762-9630
(530) 306-5170
Mailing address
2200 VALLEY VIEW PKWY APT 4121, EL DORADO HILLS, CA 95762-5587
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72850
CA
Other
Enumeration date
09/10/2020
Last updated
08/18/2022
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