Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROESHAN SHADRAVAN, PHD. DOMP. MSC. CST.
Active Sole ProprietorROESHAN SHADRAVAN, PHD. DOMP. MSC. CST. is a Massage Therapist healthcare provider located in SOLANA BEACH, California. NPI 1144860743 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · SOLANA BEACH, CA
Registration Details
- NPI Number
- 1144860743
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2020 (6.632153974987 yrs)
- Last Updated
- Feb 2, 2022
- License
-
30079 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1505 LOMAS SANTA FE DRSOLANA BEACH, CA, 920752103Browse CA providers · Browse ZIP 92075
- Phone
- 7602121678
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Massage Therapist
Other Massage Therapist Providers in SOLANA BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| JOHNNY DOUGLAS | — | 1134669906 |
| MRS. KELLY BRETT | — | 1417637729 |
| CORY HARRIS | — | 1982466595 |
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.