Individual
PHILIP WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
152 MILL ST, SUITE G, GRASS VALLEY, CA 95945-4771
(530) 575-1506
Mailing address
12925 MAYFLOWER DR, NEVADA CITY, CA 95959-8974
(530) 575-1506
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13151
CA
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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