Individual provider · Type 1 NPI

Edward Wiley Quisenberry Iii, CMT

Massage Therapist · Montclair, CA

NPI number 1952510109 Active

Practice location

5206 Benito St Ste 103
Montclair, CA 91763-2859

Call (909) 398-1092 Map

Fax (909) 621-9111

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.

Other massage therapist providers in Montclair

See all in Montclair →

About NPI 1952510109

Edward Wiley Quisenberry Iii, CMT's National Provider Identifier is 1952510109, issued on May 22, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Montclair, CA. The record was last updated on Jul 8, 2007.