Individual provider · Type 1 NPI
Jonathan Banister, M.T.
Massage Therapist · Alturas, CA
NPI number
1497055396
Active
Practice location
112 E 12th St
Alturas, CA 96101-3306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
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.
About NPI 1497055396
Jonathan Banister, M.T.'s National Provider Identifier is 1497055396, issued on Oct 25, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Alturas, CA. The record was last updated on Oct 25, 2010.