Individual
ROGER CARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
1025 VILLAGE LN, CHICO, CA 95926-2812
(530) 566-0132
(530) 566-1682
Mailing address
1025 VILLAGE LN, CHICO, CA 95926-2812
(530) 566-0132
(530) 566-1682
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0400551M
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400551M
MASSAGE THERAPIST
CA
Enumeration date
07/27/2006
Last updated
04/17/2009
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