Healthcare Provider Details

I. General information

NPI: 1861325680
Provider Name (Legal Business Name): ARIANNA CEPHUS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 W CENTER ST STE 10
MANTECA CA
95337-7327
US

IV. Provider business mailing address

1108 JARUPA DR
LATHROP CA
95330-7031
US

V. Phone/Fax

Practice location:
  • Phone: 209-625-9174
  • Fax:
Mailing address:
  • Phone: 916-531-6725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: