Individual provider · Type 1 NPI
Latasha Nicole Dubois, MT
Massage Therapist · Vallejo, CA
NPI number
1245011220
Active
Practice location
806 Tennessee St
Vallejo, CA 94590-4508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 88457 (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 1245011220
Latasha Nicole Dubois, MT's National Provider Identifier is 1245011220, issued on Oct 6, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vallejo, CA. The record was last updated on Oct 6, 2023.