Madison Dempsey, CMT, B/S KINESIOLOGY

Individual provider Active NPI Massage Therapist · Dulzura, CA

NPI 1295306397 · NPPES record last updated Jul 8, 2021

Key facts

NPI
1295306397
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
82992 (CA)
Practice address
1373 Marron Valley Rd
Dulzura, CA 91917-2105
Phone
(619) 206-8664
NPI assigned
Jul 8, 2021
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 82992 CA Yes

Addresses

Primary practice location

1373 Marron Valley Rd
Dulzura, CA 91917-2105

Mailing address

1373 Marron Valley Rd
Dulzura, CA 91917-2105
Phone (619) 206-8664

Other providers in Dulzura, CA

All providers in Dulzura, CA · Massage Therapist in California

Sources for this page

Verify at the official NPI Registry.