MEDICARE: ANNA MARIA ADES CMT

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	11712	CA

General Provider Information

NPI Number	:	1962126854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MARIA ADES CMT

Provider Business Mailing Address
First Line	:	1665 ALHAMBRA LN
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-2229
Country	:	US
Telephone Number	:	510-816-0282
Fax Number	:

Provider Business Practice Location Address
First Line	:	1665 ALHAMBRA LN
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-2229
Country	:	US
Telephone Number	:	510-816-0282
Fax Number	:

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

Provider Enumeration Date	:	10/03/2022
Last Update Date	:	10/03/2022

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Directions to “ ANNA MARIA ADES CMT” Practice Location

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