Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN BANISTER, M.T.
Active Sole ProprietorJONATHAN BANISTER, M.T. is a Massage Therapist healthcare provider located in ALTURAS, California. NPI 1497055396 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · ALTURAS, CA
Registration Details
- NPI Number
- 1497055396
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2010 (15.760915955353 yrs)
- Last Updated
- Oct 25, 2010
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 E 12TH STALTURAS, CA, 961013306Browse CA providers · Browse ZIP 96101
- Phone
- 5302495352
- Primary Specialty
-
Massage Therapist
225700000X
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.