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NPI Code Detail

MEDICARE: ANITA R RIESINGER CMT

MEDICARE: ANITA R RIESINGER CMT
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 Therapist13272CA

General Provider Information

NPI Number : 1336447101
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITA R RIESINGER CMT
Provider Business Mailing Address
First Line : 1439 KENTFIELD AVE APT 7
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94061-2735
Country : US
Telephone Number : 650-549-4454
Fax Number :
Provider Business Practice Location Address
First Line : 10 EL CAMINO REAL STE 202
Second Line :
City : SAN CARLOS
State : CA
Zip : 94070-2451
Country : US
Telephone Number : 650-549-4454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2011
Last Update Date : 03/03/2011

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Directions to “ ANITA R RIESINGER CMT” Practice Location

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