Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOON LEAF DEROSIER, CMT
Active Sole ProprietorMOON LEAF DEROSIER, CMT is a Massage Therapist healthcare provider located in ATASCADERO, California. NPI 1043663438 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · ATASCADERO, CA
Registration Details
- NPI Number
- 1043663438
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2016 (10.045684393471 yrs)
- Last Updated
- Jul 20, 2016
- License
-
10405 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5960B WEST MALLATASCADERO, CA, 934224232Browse CA providers · Browse ZIP 93422
- Phone
- 4157066397
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in ATASCADERO, CA
| Name | Credential | NPI |
|---|---|---|
| DORI DUECK | LMT | 1386885408 |
| JACLYN JOYNER | CMT | 1164248035 |
| MRS. NIKI MARIE TORRES | CMP | 1104705458 |
| KIMBERLY WALLACE | — | 1609748748 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.