Individual provider · Type 1 NPI
Rossana Diaz, LE, CMT, MMP
Massage Therapist · Upland, CA
NPI number
1205562402
Active
Practice location
222 N Mountain Ave Ste 210A
Upland, CA 91786-5714
Mailing address
1295 E 9th St Apt 10
Upland, CA 91786-8108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 88703 (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.
3 other providers at this address
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About NPI 1205562402
Rossana Diaz, LE, CMT, MMP's National Provider Identifier is 1205562402, issued on Jul 29, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Upland, CA. The record was last updated on Jul 29, 2022.