MEDICARE: MS. JUNE L. KAMERLING NCTMB, CFT

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

General Provider Information

NPI Number	:	1770795916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JUNE L. KAMERLING NCTMB, CFT

Provider Business Mailing Address
First Line	:	1920 TULARE AVE
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94805-2025
Country	:	US
Telephone Number	:	510-604-5732
Fax Number	:

Provider Business Practice Location Address
First Line	:	2509 MILVIA STREET
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94704
Country	:	US
Telephone Number	:	510-604-5732
Fax Number	:

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

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	07/08/2007

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