Individual provider · Type 1 NPI
Kaytlyn Ellida O'Connor, CMT, ROLFER
Massage Therapist · Oakland, CA
NPI number
1689204612
Active
Practice location
5545 Claremont Ave
Oakland, CA 94618-1116
Mailing address
1717 Berkeley Way
Berkeley, CA 94703-1505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 17671 (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 1689204612
Kaytlyn Ellida O'Connor, CMT, ROLFER's National Provider Identifier is 1689204612, issued on Jan 17, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Oakland, CA. The record was last updated on Jan 17, 2020.