Individual provider · Type 1 NPI

William Joseph Theriault, MASSAGE PRACTITIONE

Massage Therapist · Fountain Valley, CA

NPI number 1366054215 Active

Practice location

8840 Warner Ave, Suite 100
Fountain Valley, CA 92708

Call (714) 898-0515 Map

Mailing address

2601 Huntington St., #7
Huntington Beach, CA 92648

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27601 (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 1366054215

William Joseph Theriault, MASSAGE PRACTITIONE's National Provider Identifier is 1366054215, issued on Aug 21, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fountain Valley, CA. The record was last updated on Aug 21, 2020.