Healthcare Provider Details

I. General information

NPI: 1629747670
Provider Name (Legal Business Name): STEPPING INTO WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2021
Last Update Date: 09/12/2021
Certification Date: 09/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4408 MARKET ST UNIT H
OAKLAND CA
94608-3455
US

IV. Provider business mailing address

3247 SYLVAN AVE
OAKLAND CA
94602-3957
US

V. Phone/Fax

Practice location:
  • Phone: 510-274-1275
  • Fax:
Mailing address:
  • Phone: 415-336-4036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: JAMIE BENDER
Title or Position: CEO
Credential: LAC, DAOM
Phone: 415-336-4036