Healthcare Provider Details

I. General information

NPI: 1356219349
Provider Name (Legal Business Name): CATHERINE JOANNA RUGH-SELIGSOHN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4141 VIA MARISOL APT 213
LOS ANGELES CA
90042-5142
US

IV. Provider business mailing address

4141 VIA MARISOL APT 213
LOS ANGELES CA
90042-5142
US

V. Phone/Fax

Practice location:
  • Phone: 610-220-9210
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number20746
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: