Individual provider · Type 1 NPI
Malik Roshon Coleman
Massage Therapist · Upland, CA
NPI number
1609761428
Active
Practice location
440 Alpine Street
Upland, CA 91786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 78959 (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 1609761428
Malik Roshon Coleman's National Provider Identifier is 1609761428, issued on Jun 11, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Upland, CA. The record was last updated on Jun 11, 2025.