Individual provider · Type 1 NPI

Sheila Star Coulbourn, CMT

Massage Therapist · San Diego, CA

NPI number 1124389556 Active

Practice location

11011 Via Frontera, Suite A
San Diego, CA 92127-1752

Call (619) 980-9591 Map

Mailing address

PO Box 720368
San Diego, CA 92172-0368

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X4762 (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 1124389556

Sheila Star Coulbourn, CMT's National Provider Identifier is 1124389556, issued on Jun 1, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Diego, CA. The record was last updated on Jun 12, 2013.