Individual provider · Type 1 NPI
Ricardo Gonzalez, MASSAGE THERAPIST
Massage Therapist · West Covina, CA
NPI number
1902497316
Active
Practice location
554 N Hollow Ave
West Covina, CA 91790-1547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 25987 (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 1902497316
Ricardo Gonzalez, MASSAGE THERAPIST's National Provider Identifier is 1902497316, issued on Jan 28, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in West Covina, CA. The record was last updated on Jan 28, 2021.