Individual provider · Type 1 NPI

Bill Dean Ennis, MASSAGE THERAPIST

Massage Therapist · Modesto, CA

NPI number 1295083814 Active

Practice location

3116 Otis Av
Modesto, CA 95350

Call (209) 567-1432 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1295083814

Bill Dean Ennis, MASSAGE THERAPIST's National Provider Identifier is 1295083814, issued on Aug 29, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Modesto, CA. The record was last updated on Aug 29, 2012.