Individual provider · Type 1 NPI

Monique D'lisa Gray

Massage Therapist · Culver City, CA

NPI number 1821374620 Active

Practice location

6666 Green Valley Cir
Culver City, CA 90230-7068

Call (310) 846-5270 Map

Fax (310) 846-5278

Other practice locations

  • 901 Dover Dr, Newport Beach, CA 92660-5538 · (949) 500-8563

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Massage Therapist 225700000XNone listed
Massage Therapist Primary 225700000X82712 (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 1821374620

Monique D'lisa Gray's National Provider Identifier is 1821374620, issued on Oct 25, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Culver City, CA. The record was last updated on Aug 30, 2022.