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Nicholas Winter Roberts, MASSAGETHERAPIST
Massage Therapist in San Clemente, California
NPI 1619603164

Nicholas Winter Roberts is a Massage Therapist based in San Clemente, CA. Nicholas Winter Roberts practices in San Clemente, CA and has the professional credentials of MASSAGETHERAPIST. The NPI Number for Nicholas Winter Roberts is 1619603164 and holds a License No. 91023 (California).

The current practice location address for Nicholas Winter Roberts is 249 Calle Villario, San Clemente, CA and can be reached out via phone at 949-464-7715.

Location: 249 Calle Villario, San Clemente, CA, 92672-2130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619603164
Provider Name
Nicholas Winter Roberts
Credential
MASSAGETHERAPIST
Provider Entity Type
Individual
Gender
Male
Address
249 Calle Villario, San Clemente, CA, 92672-2130
Phone Number
949-464-7715
Fax Number
Provider Enumeration Date
07/27/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
91023 01 CA CALIFORNIA MASSAGE THERAPY COUNCIL CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
249 Calle Villario
City
San Clemente
State
California
Zip
92672-2130
Phone Number
949-464-7715
Fax Number
person
Provider Business Mailing Address Details
Address
249 Calle Villario
City
San Clemente
State
California
Zip
92672-2130
Phone Number
949-464-7715
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
91023 (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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