NPI 1588391148

Theresa Renee Rivera, NMT

Practitioner Massage Therapist Tamuning, GU

Practice location

Address: 643 Chalan San Antonio STE 108, Tamuning, GU 96913-3644
Phone: (671) 687-8079
Mailing address: 155 W Santa Barbara Ave, Dededo, GU 96929-5304

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT.0024273 (CO)

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Registry record

NPI: 1588391148
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Aug 2022
Record last updated: 4 Aug 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.