NPI 1093329104

Ruben David Willis, CMT

Practitioner Massage Therapist Riverside, CA

Practice location

Address: 3264 Rainforest Dr, Riverside, CA 92503-0824
Phone: (352) 573-7207

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 77613 (CA)

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Registry record

NPI: 1093329104
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Sep 2020
Record last updated: 5 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.