Individual
KYLE VALERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
10803 VISTA SORRENTO PKWY, SAN DIEGO, CA 92121-2792
(619) 400-7030
Mailing address
16590 YERMO CT, SAN DIEGO, CA 92127-3300
(619) 400-7030
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72728
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72728
CERTIFIED MASSAGE THERAPIST
CA
Enumeration date
03/09/2018
Last updated
03/09/2018
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