Individual provider · Type 1 NPI
Kathryn Debaca, A.S., LCMT
Massage Therapist · Stockton, CA
NPI number
1730577917
Active
Practice location
1424 Morrison Ave
Stockton, CA 95205-3538
Mailing address
PO Box 1841
Stockton, CA 95201-1841
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 60873 (CA) |
| Specialist | 174400000X | 66723 (CA) |
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | 66723 (CA) |
| Rehabilitation Practitioner | 225400000X | 66723 (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 1730577917
Kathryn Debaca, A.S., LCMT's National Provider Identifier is 1730577917, issued on Dec 22, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Stockton, CA. The record was last updated on Apr 19, 2016.