Individual provider · Type 1 NPI
Michael Anthony Bonner
Massage Therapist · San Diego, CA
NPI number
1629914932
Active
Practice location
4295 Gesner St Ste 1B
San Diego, CA 92117-6626
Mailing address
13021 Wanesta Dr
Poway, CA 92064-4507
Other practice locations
- 2180 Garnet Ave, San Diego, CA 92109-3610 · (858) 829-3205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 101233 (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 1629914932
Michael Anthony Bonner's National Provider Identifier is 1629914932, issued on Apr 28, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Diego, CA. The record was last updated on Apr 28, 2026.