Individual provider · Type 1 NPI

Sumatinee Baibua

Massage Therapist · San Rafael, CA

NPI number 1255257366 Active

Practice location

820 5th Ave Ste B
San Rafael, CA 94901-3269

Call (415) 965-6464 Map

Mailing address

1455 Bay St Apt C
Alameda, CA 94501-2351

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X99171 (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 1255257366

Sumatinee Baibua's National Provider Identifier is 1255257366, issued on Jun 24, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Rafael, CA. The record was last updated on Jun 24, 2026.