Individual provider · Type 1 NPI

Ishna Selena Medina, CMT

Massage Therapist · San Gabriel, CA

NPI number 1902965031 Active

Practice location

438 W Las Tunas Drive
San Gabriel, CA 91776

Call (626) 570-6587 Map

Fax (626) 457-3257

Mailing address

1178 Karesh Ave
Pomona, CA 91767

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1902965031

Ishna Selena Medina, CMT's National Provider Identifier is 1902965031, issued on Dec 6, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Gabriel, CA. The record was last updated on Jul 8, 2007.