Individual provider · Type 1 NPI

Michael Tejada, CMT

Massage Therapist · Rancho Cucamonga, CA

NPI number 1306412465 Active

Practice location

10601 Church St Ste 109
Rancho Cucamonga, CA 91730-6894

Call (909) 285-4561 Map

Mailing address

328 E J St
Ontario, CA 91764-2719

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X85012 (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 1306412465

Michael Tejada, CMT's National Provider Identifier is 1306412465, issued on May 31, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on May 31, 2021.