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NPI Code Detail

MEDICARE: DOWNLOAD WELLNESS

MEDICARE: DOWNLOAD WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist

General Provider Information

NPI Number : 1194464230
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOWNLOAD WELLNESS
Provider Business Mailing Address
First Line : 1211 EMBARCADERO STE D
Second Line :
City : OAKLAND
State : CA
Zip : 94606-5117
Country : US
Telephone Number : 510-328-4098
Fax Number :
Provider Business Practice Location Address
First Line : 1211 EMBARCADERO STE D
Second Line :
City : OAKLAND
State : CA
Zip : 94606-5117
Country : US
Telephone Number : 510-328-4098
Fax Number :
Authorized Official
Title or Position : CMT
Name : MS. SURMICHE VAUGHN
Credential :
Telephone Number : 510-688-2919
Provider Enumeration Date : 05/27/2022
Last Update Date : 05/27/2022

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Directions to “DOWNLOAD WELLNESS ” Practice Location

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