MEDICARE: CHRISTINA RUTH WINKLER HHP., CMT., NCBTMB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	3365	CA

General Provider Information

NPI Number	:	1093140519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA RUTH WINKLER HHP., CMT., NCBTMB

Provider Business Mailing Address
First Line	:	2019 CHICAGO ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-3421
Country	:	US
Telephone Number	:	619-993-0316
Fax Number	:

Provider Business Practice Location Address
First Line	:	2019 CHICAGO ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-3421
Country	:	US
Telephone Number	:	619-993-0316
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2013
Last Update Date	:	09/04/2013

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