Individual
LEWIS REGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
750 OAK DR, FELTON, CA 95018-9152
(831) 334-5050
Mailing address
750 OAK DR, FELTON, CA 95018-9152
(183) 133-4505
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012-34-2193
CA
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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