Individual provider · Type 1 NPI

Wellington Junior Porter Sr.

Massage Therapist · Riverside, CA

NPI number 1831947209 Active

Practice location

6681 Magnolia Ave Ste D
Riverside, CA 92506-2900

Mailing address

1315 E Marshall Blvd Spc 49
San Bernardino, CA 92404-7060

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X37610 (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 1831947209

Wellington Junior Porter Sr.'s National Provider Identifier is 1831947209, issued on May 9, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Riverside, CA. The record was last updated on May 9, 2024.