Healthcare Provider Details

I. General information

NPI: 1548190325
Provider Name (Legal Business Name): ROSEMARIE SERRANO MCCHESNEY LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 WAUGH LN
UKIAH CA
95482-5903
US

IV. Provider business mailing address

1055 KING RIDGE RD
UKIAH CA
95482-8923
US

V. Phone/Fax

Practice location:
  • Phone: 707-992-7508
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number101589
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: