Deana Brett Fraley

Individual provider Active NPI Massage Therapist · Dixon, CA

NPI 1467042010 · NPPES record last updated Jan 18, 2021

Key facts

NPI
1467042010
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
75834 (CA)
Practice address
1250 Linford LN Apt 16
Dixon, CA 95620-3907
Phone
(661) 616-8981
NPI assigned
Jan 18, 2021
Sex
Female
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

LicenseStateTypeSpecialty
75834CAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 75834 CA Yes

Addresses

Primary practice location

1250 Linford LN Apt 16
Dixon, CA 95620-3907

Mailing address

1250 Linford LN Apt 16
Dixon, CA 95620-3907
Phone (661) 616-8981

Other providers in Dixon, CA

All providers in Dixon, CA · Massage Therapist in California

Sources for this page

Verify at the official NPI Registry.