Individual provider · Type 1 NPI
Edward Michael De Leon, DC, ATC, CMT
Massage Therapist · San Jose, CA
NPI number
1538820113
Active
Practice location
3033 Harvestwood Ct
San Jose, CA 95148-2704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | 2000030720 (CA) |
| Massage Therapist Primary | 225700000X | 42341 (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 1538820113
Edward Michael De Leon, DC, ATC, CMT's National Provider Identifier is 1538820113, issued on Jan 5, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Jose, CA. The record was last updated on Jan 5, 2022.