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1508761743 NPI number — MONICA REYNA CMT

NPI Number: 1508761743
Health Care Provider/Practitioner: MONICA REYNA CMT

Information about “1508761743” NPI (MONICA REYNA CMT) exists in 1508761743 in HTML format HTML  |  1508761743 in plain Text format TXT  |  1508761743 in PDF (Portable Document Format) PDF  |  1508761743 in an XML format XML  formats.

NPI Number : 1508761743 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508761743",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MONICA REYNA CMT",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5665 N PERSHING AVE STE C8",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STOCKTON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95207-4948",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-200-3257",
    "MailingAddressFaxNumber": "209-292-6937",
    "FirstLinePracticeLocationAddress": "5665 N PERSHING AVE STE C8",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STOCKTON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95207-4948",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "510-200-3257",
    "PracticeLocationAddressFaxNumber": "209-292-6937",
    "EnumerationDate": "10/08/2026",
    "LastUpdateDate": "10/08/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "REYNA",
    "AuthorizedOfficialFirstName": "MONICA",
    "AuthorizedOfficialMiddleName": "ANGELA",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CMT",
    "AuthorizedOfficialTelephoneNumber": "510-200-3257",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225700000X",
        "TaxonomyName": "Massage Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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