Healthcare Provider Details

I. General information

NPI: 1518821669
Provider Name (Legal Business Name): CHELSEA DAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 4TH ST STE 201
SAN RAFAEL CA
94901-2857
US

IV. Provider business mailing address

PO BOX 58
LAGUNITAS CA
94938-0058
US

V. Phone/Fax

Practice location:
  • Phone: 917-826-0282
  • Fax:
Mailing address:
  • Phone: 917-826-0282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number17701
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: