Healthcare Provider Details

I. General information

NPI: 1306757836
Provider Name (Legal Business Name): MARIE PRECI CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 W JACKSON RD
SAN BERNARDINO CA
92408-4103
US

IV. Provider business mailing address

151 W JACKSON RD
SAN BERNARDINO CA
92408-4103
US

V. Phone/Fax

Practice location:
  • Phone: 909-437-6525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number96194
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: