Individual provider · Type 1 NPI
Maemilia Montgomery
Massage Therapist · San Diego, CA
NPI number
1114565751
Active
Practice location
3023 Bunker Hill St Ste 102
San Diego, CA 92109-5706
Mailing address
4535 Rainier Ave Unit 1
San Diego, CA 92120-2564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 78116 (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 1114565751
Maemilia Montgomery's National Provider Identifier is 1114565751, issued on Dec 13, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Diego, CA. The record was last updated on Dec 13, 2019.