Individual provider · Type 1 NPI
Dominique Stewart, MASSAGE THERAPIST
Massage Therapist · Vallejo, CA
NPI number
1104430826
Active
Practice location
1638 Ohio St
Vallejo, CA 94590-4752
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 43248 (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 1104430826
Dominique Stewart, MASSAGE THERAPIST's National Provider Identifier is 1104430826, issued on Aug 31, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vallejo, CA. The record was last updated on Aug 31, 2020.