NPI 1003421686

Rick Bryce Tyson

Practitioner Massage Therapist Vallejo, CA

Practice location

Address: 920 York St APT a, Vallejo, CA 94590-6270
Phone: (559) 676-0478

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 67507 (CA)

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Registry record

NPI: 1003421686
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Sep 2020
Record last updated: 10 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.