Taylor D Stein, CMT
Individual provider Active NPI Massage Therapist · Mountain Center, CA
NPI 1063173144 · NPPES record last updated Dec 31, 2021
Key facts
- NPI
- 1063173144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 72718 (CA)
- Practice address
- 62025 Pinyon Dr
Mountain Center, CA 92561-3525 - Phone
- (760) 835-5112
- NPI assigned
- Dec 31, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 72718 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 72718 | CA | Yes |
Addresses
Primary practice location
62025 Pinyon Dr
Mountain Center, CA 92561-3525
Mailing address
62025 Pinyon Dr
Mountain Center, CA 92561-3525
Phone (760) 835-5112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 461420 | Other | INSURANCE PLUS |
Other providers in Mountain Center, CA
- Thomas Burton Jackson
- Aexis Aide Mendoza
- Riverside-San Bernardino County Indian Health, Inc
- Riverside/San Bernardino County Indian Health, Inc.
- Patricia B Tucker Hoover
All providers in Mountain Center, CA · Massage Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2021. 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.