Individual provider · Type 1 NPI

Tina Hope Distad, CMT

Massage Therapist · Santa Cruz, CA

NPI number 1700278017 Active

Practice location

3540 Soquel Ave Ste C2
Santa Cruz, CA 95062-1769

Call (831) 291-5008 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X60351627 (WA)
Massage Therapist Primary 225700000X71677 (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 1700278017

Tina Hope Distad, CMT's National Provider Identifier is 1700278017, issued on Feb 23, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Santa Cruz, CA. The record was last updated on Mar 2, 2023.