Individual provider · Type 1 NPI

Julianna Amy Wida, BCTMB, BS

Massage Therapist · San Diego, CA

NPI number 1992481535 Active

Practice location

3505 Camino Del Rio S Ste 100
San Diego, CA 92108-4015

Call (619) 246-1112 Map

Mailing address

734 Bush St
San Diego, CA 92103-2903

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Massage Therapist Primary 225700000X613930-12 (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 1992481535

Julianna Amy Wida, BCTMB, BS's National Provider Identifier is 1992481535, issued on Jun 27, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Diego, CA. The record was last updated on Jun 27, 2023.