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Moon Leaf Derosier, CMT
Massage Therapist in Atascadero, California
NPI 1043663438

Moon Leaf Derosier is a Massage Therapist based in Paso Robles, CA. Moon Leaf Derosier practices in Atascadero, CA and has the professional credentials of CMT. The NPI Number for Moon Leaf Derosier is 1043663438 and holds a License No. 10405 (California).

The current practice location address for Moon Leaf Derosier is 5960B West Mall, Atascadero, CA and can be reached out via phone at 415-706-6397.

Location: 5960B West Mall, Atascadero, CA, 93447-4273
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043663438
Provider Name
Moon Leaf Derosier
Credential
CMT
Provider Entity Type
Individual
Gender
Female
Address
5960B West Mall, Atascadero, CA, 93447-4273
Phone Number
415-706-6397
Fax Number
Provider Enumeration Date
07/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5960B West Mall
City
Atascadero
State
California
Zip
93422-4232
Phone Number
415-706-6397
Fax Number
person
Provider Business Mailing Address Details
Address
5960B West Mall
City
Atascadero
State
California
Zip
93422-4232
Phone Number
415-706-6397
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
10405 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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