Healthcare Provider Details

I. General information

NPI: 1336044502
Provider Name (Legal Business Name): RHEA PUCAY GILCHRIST CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 LAS POSAS RD STE C1
CAMARILLO CA
93010-2910
US

IV. Provider business mailing address

743 PASEO CAMARILLO APT 148
CAMARILLO CA
93010-0841
US

V. Phone/Fax

Practice location:
  • Phone: 805-320-9044
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number23985
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: