Individual provider · Type 1 NPI
Steven M. Licea
Nurse Massage Therapist (NMT) · Windsor, CA
NPI number
1114898418
Active
Practice location
9133 Saint James Pl
Windsor, CA 95492-8332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Massage Therapist (NMT) Primary | 163WM1400X | 95188212 (CA) |
Nurse Massage Therapist (NMT): Definition to come...
About NPI 1114898418
Steven M. Licea's National Provider Identifier is 1114898418, issued on Sep 17, 2025. The primary taxonomy on file is Nurse Massage Therapist (NMT) (163WM1400X), and the practice location is in Windsor, CA. The record was last updated on Sep 17, 2025.