Healthcare Provider Details

I. General information

NPI: 1427327469
Provider Name (Legal Business Name): NATALIYA K KOPILOW CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2011
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2989 SOLANO AVE
NAPA CA
94558-4610
US

IV. Provider business mailing address

968 PEARL ST
NAPA CA
94559-2612
US

V. Phone/Fax

Practice location:
  • Phone: 707-287-8209
  • Fax:
Mailing address:
  • Phone: 707-287-8209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number90205
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number90105
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: