Calli Rose Brandyfoot
Individual provider Active NPI Massage Therapist · Calistoga, CA
NPI 1508739319 · NPPES record last updated Sep 26, 2025
Key facts
- NPI
- 1508739319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 99213 (CA)
- Practice address
- 11640 Hwy 128
Calistoga, CA 94515-9509 - Phone
- (707) 483-3347
- NPI assigned
- Sep 26, 2025
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 99213 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 99213 | CA | Yes |
Addresses
Primary practice location
11640 Hwy 128
Calistoga, CA 94515-9509
Mailing address
11640 Hwy 128
Calistoga, CA 94515-9509
Other providers in Calistoga, CA
- Dulce Estrella Alvarado I
- Hector Ayala
- Elias Ignacio Banuelos
- Gabriela Bermudez
- Deborah Ann Black
- Barbara Jean Brown
- Calistoga Junior Senior High School
- Michele Jane Craig-Morales
- Cruz Chiropractic PC
- Jeffrey Davila
All providers in Calistoga, 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 Sep 26, 2025. 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.