Yeni Batres

Individual provider Active NPI Massage Therapist · Carson, CA

NPI 1124630710 · NPPES record last updated Aug 17, 2020

Key facts

NPI
1124630710
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
83042 (CA)
Practice address
441 E Carson St Ste J
Carson, CA 90745-7712
Phone
(424) 392-4984
NPI assigned
Aug 17, 2020
Sex
Female
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

LicenseStateTypeSpecialty
83042CAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 83042 CA Yes

Addresses

Primary practice location

441 E Carson St Ste J
Carson, CA 90745-7712

Mailing address

441 E Carson St Ste J
Carson, CA 90745-7712
Phone (424) 392-4984

Other providers in Carson, CA

All providers in Carson, CA · Massage Therapist in California

Sources for this page

Verify at the official NPI Registry.