Individual provider · Type 1 NPI
Dorothy Susan Shofner, CERTIFIED MASSAGE TH
Massage Therapist · Orange, CA
NPI number
1659865616
Active
Practice location
1607 E Lincoln Ave Ste A
Orange, CA 92865-1958
Mailing address
1235 E Lincoln Ave Apt 502
Anaheim, CA 92805-4266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 47130 (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 1659865616
Dorothy Susan Shofner, CERTIFIED MASSAGE TH's National Provider Identifier is 1659865616, issued on Jun 21, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Orange, CA. The record was last updated on Jun 21, 2018.