MEDICARE: KAMELA ANNE HILL MT- MASSAGE THERAPIS

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	172M00000X	Mechanotherapist	37058	CA

General Provider Information

NPI Number	:	1457707721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAMELA ANNE HILL MT- MASSAGE THERAPIS

Provider Business Mailing Address
First Line	:	225 30TH ST
Second Line	:	SUITE 303
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-3359
Country	:	US
Telephone Number	:	916-469-5433
Fax Number	:	916-760-8377

Provider Business Practice Location Address
First Line	:	225 30TH ST
Second Line	:	SUITE 303
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-3359
Country	:	US
Telephone Number	:	916-469-5433
Fax Number	:	916-760-8377

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

Provider Enumeration Date	:	05/05/2016
Last Update Date	:	05/05/2016

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