Carlos Cruz, COTA
Individual provider Active NPI Massage Therapist · Carnation, WA
NPI 1033535752 · NPPES record last updated May 13, 2015
Key facts
- NPI
- 1033535752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA60499241 (WA)
- Practice address
- 4509 B Tolt Ave
Carnation, WA 98014 - Phone
- (407) 760-1333
- NPI assigned
- Mar 6, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC60416008 | WA | MD | Occupational Therapy Assistant |
| MA60499241 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OC60416008 | WA | |
| Massage Therapist | 225700000X | MA60499241 | WA | Yes |
Addresses
Primary practice location
4509 B Tolt Ave
Carnation, WA 98014
Mailing address
PO Box 1134
Carnation, WA 98014
Other providers in Carnation, WA
- Deardra Boyle
- Calming Reins Counseling
- Joy Rene Coble
- Community Birth Group
- Jacqueline Marie Conquest
- Donald Joseph David
- Edmund Joseph Decato
- Ginette Marie Didomenico
- Sarah Luann Dodge
- Andrea Beatrice Eaton-Lupas
All providers in Carnation, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.