Individual provider · Type 1 NPI
Roeshan Shadravan, PHD. DOMP. MSC. CST.
Massage Therapist · Solana Beach, CA
NPI number
1144860743
Active
Practice location
1505 Lomas Santa Fe Dr
Solana Beach, CA 92075-2103
Mailing address
1160 N Coast Highway 101 #232126
Encinitas, CA 92023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mechanotherapist | 172M00000X | None listed |
| Massage Therapist Primary | 225700000X | 30079 (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.
Other massage therapist providers in Solana Beach
About NPI 1144860743
Roeshan Shadravan, PHD. DOMP. MSC. CST.'s National Provider Identifier is 1144860743, issued on Jan 11, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Solana Beach, CA. The record was last updated on Feb 2, 2022.