Healthcare Provider Details
I. General information
NPI: 1679336648
Provider Name (Legal Business Name): NURTURING TOUCH MASSAGE & ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/02/2024
Last Update Date: 02/02/2024
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
219 ESTATES DR STE 102
ROSEVILLE CA
95678-2391
US
IV. Provider business mailing address
219 ESTATES DR STE 102
ROSEVILLE CA
95678-2391
US
V. Phone/Fax
- Phone: 916-492-0725
- Fax:
- Phone: 916-492-0725
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
ABELAR
Title or Position: BUSINESS OWNER
Credential: L.AC.
Phone: 916-492-0725