Individual
JANET RAYNES KOPIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
920 SHERMAN AVE, NOVATO, CA 94945-3244
(415) 858-4476
Mailing address
920 SHERMAN AVE, NOVATO, CA 94945-3244
(415) 858-4476
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18010
CA
Other
Enumeration date
08/15/2012
Last updated
04/18/2013
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