Individual provider · Type 1 NPI

Sam Nicole Encarnacion Mendoza I, CMT, B.S.KIN

Massage Therapist · San Diego, CA

NPI number 1790660868 Active

Practice location

5959 Mission Gorge Rd Ste 106
San Diego, CA 92120-4019

Call (619) 754-4809 Map

Mailing address

665 Carefree Dr
San Diego, CA 92114-5753

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X95954 (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 1790660868

Sam Nicole Encarnacion Mendoza I, CMT, B.S.KIN's National Provider Identifier is 1790660868, issued on Aug 7, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Diego, CA. The record was last updated on Aug 7, 2025.