Healthcare Provider Details

I. General information

NPI: 1467367383
Provider Name (Legal Business Name): I-THRIV WELLNESS ANYWHERE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11560 ROCKSPUR CT
MORENO VALLEY CA
92555-1742
US

IV. Provider business mailing address

11560 ROCKSPUR CT
MORENO VALLEY CA
92555-1742
US

V. Phone/Fax

Practice location:
  • Phone: 951-907-4200
  • Fax:
Mailing address:
  • Phone: 951-907-4200
  • 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: DANIELLE N THUNIG
Title or Position: OWNER
Credential:
Phone: 951-907-4200