Individual
KALEB WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
311 1/2 W PEDREGOSA ST APT C, SANTA BARBARA, CA 93101-5607
(510) 388-9062
Mailing address
311 1/2 W PEDREGOSA ST APT C, SANTA BARBARA, CA 93101-5607
(510) 388-9062
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
93002
CA
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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