Individual provider · Type 1 NPI
Willy Ray Fleming Jr., CMT
Massage Therapist · Davis, CA
NPI number
1396522033
Active
Practice location
1801 Hanover Dr Ste D
Davis, CA 95616-1067
Mailing address
167 Quincy Ct
Vacaville, CA 95687-6733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 74497 (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 1396522033
Willy Ray Fleming Jr., CMT's National Provider Identifier is 1396522033, issued on Sep 14, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Davis, CA. The record was last updated on Sep 14, 2023.