NPI 1003429408

Michelle Boller, CMT

Practitioner Massage Therapist San Diego, CA

Practice location

Address: 813 W Washington St, San Diego, CA 92103-1804
Phone: (619) 269-9909
Mailing address: 3009 Union St Unit 2, San Diego, CA 92103-6080

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 29634 (CA)

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Registry record

NPI: 1003429408
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Aug 2020
Record last updated: 25 Aug 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.