Individual provider · Type 1 NPI
Boniface Mwele Mbayachi, CMT, NMT
Massage Therapist · Sebastopol, CA
NPI number
1063015964
Active
Practice location
7765 Healdsburg Ave Ste 13D
Sebastopol, CA 95472-3355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 78648 (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 1063015964
Boniface Mwele Mbayachi, CMT, NMT's National Provider Identifier is 1063015964, issued on Nov 21, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sebastopol, CA. The record was last updated on Nov 6, 2022.