Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEAU NICHOLAS THIESEN, CMT, CPT, CES
Active Sole ProprietorBEAU NICHOLAS THIESEN, CMT, CPT, CES is a Massage Therapist healthcare provider located in CAMARILLO, California. NPI 1689919268 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · CAMARILLO, CA
Registration Details
- NPI Number
- 1689919268
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2012 (13.728174862886 yrs)
- Last Updated
- Sep 2, 2016
- License
-
52963 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
231 VILLAGE COMMONS BLVDSUITE 19CAMARILLO, CA, 930127818Browse CA providers · Browse ZIP 93012
- Phone
- 8055864694
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in CAMARILLO, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. TANJA SEAGRAVES | CMT | 1225470099 |
| JEREMEY WESLEY KINSER | CMT | 1477185866 |
| MRS. KIMBERLY JANE MCGUIRK | LMT,CMT | 1023781333 |
| ERICA LYNN ANDERSON | — | 1306704523 |
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.