NPI 1225763022

James Bautista

Practitioner Massage Therapist Walnut Creek, CA

Practice location

Address: 110 La Casa Via STE 100, Walnut Creek, CA 94598-3000
Phone: (925) 935-4866
Mailing address: 101 Doral CT, Vallejo, CA 94591-4334

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 85949 (CA)

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Registry record

NPI: 1225763022
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2022
Record last updated: 18 Jul 2022

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.