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Mr. William Joseph Theriault, MASSAGEPRACTITIONE
Massage Therapist in Fountain Valley, California
NPI 1366054215

William Joseph Theriault is a Massage Therapist based in Huntington Beach, CA. William Joseph Theriault practices in Fountain Valley, CA and has the professional credentials of MASSAGEPRACTITIONE. The NPI Number for William Joseph Theriault is 1366054215 and holds a License No. 27601 (California).

The current practice location address for William Joseph Theriault is 8840 Warner Ave, Fountain Valley, CA and can be reached out via phone at 714-898-0515.

Location: 8840 Warner Ave, Fountain Valley, CA, 92648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366054215
Provider Name
William Joseph Theriault
Credential
MASSAGEPRACTITIONE
Provider Entity Type
Individual
Gender
Male
Address
8840 Warner Ave, Fountain Valley, CA, 92648
Phone Number
714-898-0515
Fax Number
Provider Enumeration Date
08/21/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
27601 01 CA MASSAGE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
8840 Warner Ave
City
Fountain Valley
State
California
Zip
92708
Phone Number
714-898-0515
Fax Number
person
Provider Business Mailing Address Details
Address
8840 Warner Ave
City
Fountain Valley
State
California
Zip
92708
Phone Number
714-898-0515
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
27601 (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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