Organization
ROOTED REPUBLIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SARAH ELLINGSON CMT (OWNER)
(408) 607-7430
Entity
Organization
Contact information
Practice address
25 W 1ST ST STE B, MORGAN HILL, CA 95037-4559
(408) 607-7430
Mailing address
1344 DISC DR, SPARKS, NV 89436-0684
(408) 607-7430
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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