Individual provider · Type 1 NPI
Leticia Desimone, MASSAGE THERAPIST
Massage Therapist · Encinitas, CA
NPI number
1902451925
Active
Practice location
910 2nd St
Encinitas, CA 92024-4410
Mailing address
789 Saxony Rd Unit A
Encinitas, CA 92024-2352
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 75642 (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 1902451925
Leticia Desimone, MASSAGE THERAPIST's National Provider Identifier is 1902451925, issued on Aug 6, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Encinitas, CA. The record was last updated on Aug 6, 2019.