Individual provider · Type 1 NPI
Shauna Wise, LMT
Massage Therapist · San Diego, CA
NPI number
1437811684
Active
Practice location
2156 Balboa Ave
San Diego, CA 92109-4627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 72110 (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 1437811684
Shauna Wise, LMT's National Provider Identifier is 1437811684, issued on Oct 5, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Diego, CA. The record was last updated on Oct 5, 2021.