Joseph Christodoulos
Individual provider Active NPI Massage Therapist · Jamul, CA
NPI 1962196352 · NPPES record last updated Jun 7, 2023
Key facts
- NPI
- 1962196352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 13910 Lyons Valley Rd Ste L1
Jamul, CA 91935-2028 - Phone
- (619) 607-7474
- NPI assigned
- Jun 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body and Soul Care Clinic | Single Specialty | Current |
Accepting new patients |
Locations
13910 Lyons Valley Rd
Ste L1
Jamul, CA 91935
Phone (619) 607-7474
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | Yes |
Addresses
Primary practice location
13910 Lyons Valley Rd Ste L1
Jamul, CA 91935-2028
Mailing address
13910 Lyons Valley Rd Ste L1
Jamul, CA 91935-2028
Phone (619) 607-7474
Other providers in Jamul, CA
- Aaa Kids Inc
- Apex Recovery, LLC
- Lauren Elizabeth Beauchamp
- Body and Soul Care Clinic
- Elizabeth Christodoulos
- John Clancy
- Karla Atzin Diaz
- Stacy Renee Dimartino
- Jazmine Escobar
- Maida Patricia Ferraes
All providers in Jamul, 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 Jun 7, 2023. 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.