Patricia Maria Arellano

Individual provider Active NPI Massage Therapist · Lake Isabella, CA

NPI 1720347495 · NPPES record last updated May 15, 2012

Key facts

NPI
1720347495
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
009226 (CA)
Practice address
3611 Wagon Wheel
Lake Isabella, CA 93240
Phone
(760) 379-4900
NPI assigned
May 15, 2012
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
009226CAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 009226 CA Yes

Addresses

Primary practice location

3611 Wagon Wheel
Lake Isabella, CA 93240

Mailing address

PO Box 484
Lake Isabella, CA 93240-0484
Phone (760) 379-4900

Other providers in Lake Isabella, CA

All providers in Lake Isabella, CA · Massage Therapist in California

Sources for this page

Verify at the official NPI Registry.