Healthcare Provider Details

I. General information

NPI: 1679418735
Provider Name (Legal Business Name): ALEXANDRA WESTON CMT, HHP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3761 BOUNDARY ST UNIT 4
SAN DIEGO CA
92104-3838
US

IV. Provider business mailing address

3761 BOUNDARY ST UNIT 4
SAN DIEGO CA
92104-3838
US

V. Phone/Fax

Practice location:
  • Phone: 781-530-8202
  • Fax:
Mailing address:
  • Phone: 781-530-8202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number46219
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: