Individual provider · Type 1 NPI

Wayne Fontaine Jr., CMT

Massage Therapist · Concord, CA

NPI number 1780282103 Active

Practice location

1070 Concord Ave Ste 175
Concord, CA 94520-5699

Call (551) 482-8117 Map

Mailing address

4617 Martin Luther King Jr Way
Oakland, CA 94609-1821

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X32559 (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 1780282103

Wayne Fontaine Jr., CMT's National Provider Identifier is 1780282103, issued on Oct 16, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Concord, CA. The record was last updated on Oct 16, 2020.