Tapin Kuptarut Alilin
Individual provider Active NPI Reflexologist · Vallejo, CA
NPI 1972808319 · NPPES record last updated Jan 16, 2011
Key facts
- NPI
- 1972808319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Reflexologist 173C00000X
- License
- 07BUS00008 (CA)
- Practice address
- 120 Trident CT
Vallejo, CA 94591-7741 - Phone
- (707) 342-8780
- NPI assigned
- Jan 16, 2011
- 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 |
|---|---|---|---|
| 07BUS00008 | CA | MD | Reflexologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | 07BUS00008 | CA | Yes |
Addresses
Primary practice location
120 Trident CT
Vallejo, CA 94591-7741
Mailing address
120 Trident CT
Vallejo, CA 94591-7741
Phone (707) 342-8780
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2011. 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.