Healthcare Provider Details

I. General information

NPI: 1881532505
Provider Name (Legal Business Name): MS. BILDRED KAY FRANCIS ELMORE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. BILLIE ELMORE

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2212 YARNELL WAY
ELK GROVE CA
95758-7119
US

IV. Provider business mailing address

2212 YARNELL WAY
ELK GROVE CA
95758-7119
US

V. Phone/Fax

Practice location:
  • Phone: 279-800-5258
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number97280
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: