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

TaxonomyCodeLicense
Nurse Massage Therapist (NMT) Primary 163WM1400X95188212 (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.