Healthcare Provider Details

I. General information

NPI: 1104734094
Provider Name (Legal Business Name): TERRA PEARSON CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MARSH COMMONS HEALING CENTER 101 H STREET, SUITE H
ARCATA CA
95521-6695
US

IV. Provider business mailing address

MARSH COMMONS HEALING CENTER 101 H STREET, SUITE H
ARCATA CA
95521-6695
US

V. Phone/Fax

Practice location:
  • Phone: 707-267-8087
  • Fax:
Mailing address:
  • Phone: 707-267-8087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number89721
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: