Individual provider · Type 1 NPI
Jerry Wallace Fulford
Massage Therapist · Capitola, CA
NPI number
1427547355
Active
Practice location
4170 Gross Rd. Extension, Suite 6
Capitola, CA 95010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 75622 (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.
Other massage therapist providers in Capitola
About NPI 1427547355
Jerry Wallace Fulford's National Provider Identifier is 1427547355, issued on May 7, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Capitola, CA. The record was last updated on May 7, 2018.