Individual provider · Type 1 NPI

Moon Leaf Derosier, CMT

Massage Therapist · Atascadero, CA

NPI number 1043663438 Active

Practice location

5960B West Mall
Atascadero, CA 93422-4232

Call (415) 706-6397 Map

Mailing address

PO Box 4273
Paso Robles, CA 93447-4273

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10405 (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 1043663438

Moon Leaf Derosier, CMT's National Provider Identifier is 1043663438, issued on Jul 20, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Atascadero, CA. The record was last updated on Jul 20, 2016.