Healthcare Provider Details

I. General information

NPI: 1144046863
Provider Name (Legal Business Name): CLAUDIA M RUIZ CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2024
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1138 BALLENA BLVD STE A5
ALAMEDA CA
94501-3679
US

IV. Provider business mailing address

1138 BALLENA BLVD STE A5
ALAMEDA CA
94501-3679
US

V. Phone/Fax

Practice location:
  • Phone: 510-334-0613
  • Fax:
Mailing address:
  • Phone: 510-334-0613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberNA
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: