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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X101233 (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.