Individual provider · Type 1 NPI
Pettie Ontell
Massage Therapist · Fontana, CA
NPI number
1013524701
Active
Practice location
16489 Gala Ave
Fontana, CA 92337-1526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 50519 (CA) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1013524701
Pettie Ontell's National Provider Identifier is 1013524701, issued on Sep 26, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fontana, CA. The record was last updated on Sep 26, 2020.