Angie Denbeste, CMT
Individual provider Active NPI Massage Therapist · Glen Ellen, CA
NPI 1861363384 · NPPES record last updated Sep 16, 2025
Key facts
- NPI
- 1861363384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 72686 (CA)
- Practice address
- PO Box 521
Glen Ellen, CA 95442-0521 - Phone
- (707) 495-4652
- NPI assigned
- Sep 16, 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 |
|---|---|---|---|
| 72686 | CA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 72686 | CA | Yes |
Addresses
Primary practice location
PO Box 521
Glen Ellen, CA 95442-0521
Mailing address
PO Box 521
Glen Ellen, CA 95442-0521
Phone (707) 495-4652
Other providers in Glen Ellen, CA
- Rebeca Fiske Bailey
- BBG Transport Inc
- Jonathan Alan Brouillard
- Justine Carandang
- Claire Gallagher
- Ann Elizabeth Kottler
- Cheryl Larson
- Cathleen Leonard
- McCoy'S Helping Hands
All providers in Glen Ellen, 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 16, 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.