Individual provider · Type 1 NPI
Genevieve Obrien Dominguez, PTA, CMT
Massage Therapist · Sonora, CA
NPI number
1952575334
Active
Practice location
105 S Forest Rd Ste C
Sonora, CA 95370-4895
Fax (808) 242-4762
Mailing address
PO Box 1674
Jamestown, CA 95327-1674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant | 225200000X | None listed |
| Massage Therapist Primary | 225700000X | 75153 (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.
Other massage therapist providers in Sonora
About NPI 1952575334
Genevieve Obrien Dominguez, PTA, CMT's National Provider Identifier is 1952575334, issued on Apr 17, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sonora, CA. The record was last updated on Dec 18, 2023.