Individual provider · Type 1 NPI

Camilla Ballard, CMT

Massage Therapist · San Leandro, CA

NPI number 1871104638 Active

Practice location

63 Dutton Avenue 2
San Leandro, CA 94577-9457

Call (151) 033-3881 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X75677 (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 1871104638

Camilla Ballard, CMT's National Provider Identifier is 1871104638, issued on Aug 13, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Leandro, CA. The record was last updated on Aug 13, 2020.