Individual
MR. CHRIS SIMON ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NMT,CPT,SNS
Contact information
Practice address
1380 LEAD HILL BLVD STE 211, ROSEVILLE, CA 95661-2997
(916) 359-9869
Mailing address
8458 N STAR WAY, ORANGEVALE, CA 95662-3843
(916) 605-9691
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
2255A2300X
Athletic Trainer
—
CA
225700000X
Massage Therapist
Primary
87156
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87156
CAMTC
CA
Enumeration date
06/15/2022
Last updated
01/02/2024
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