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Ms. Lea Wildflower, CMP
Massage Therapist in San Rafael, California
NPI 1477077782

Lea Wildflower is a Massage Therapist based in Fairfax, CA. Lea Wildflower practices in San Rafael, CA and has the professional credentials of CMP. The NPI Number for Lea Wildflower is 1477077782 and holds a License No. 22150 (California).

The current practice location address for Lea Wildflower is 1004 Irwin St Ste A, San Rafael, CA and can be reached out via phone at 415-320-3819.

Location: 1004 Irwin St Ste A, San Rafael, CA, 94978-0225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477077782
Provider Name
Lea Wildflower
Credential
CMP
Provider Entity Type
Individual
Gender
Female
Address
1004 Irwin St Ste A, San Rafael, CA, 94978-0225
Phone Number
415-320-3819
Fax Number
Provider Enumeration Date
07/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22150 01 CA CAMTC
institution
Provider Business Practice Location Address Details
Address
1004 Irwin St Ste A
City
San Rafael
State
California
Zip
94901-3337
Phone Number
415-320-3819
Fax Number
person
Provider Business Mailing Address Details
Address
1004 Irwin St Ste A
City
San Rafael
State
California
Zip
94901-3337
Phone Number
415-320-3819
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
22150 (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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