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Vontray Lewis Taylor
Massage Therapist in Imperial, California
NPI 1629739511

Vontray Lewis Taylor is a Massage Therapist based in Imperial, CA. Vontray Lewis Taylor practices in Imperial, CA. The NPI Number for Vontray Lewis Taylor is 1629739511 and holds a License No. 87283 (California).

The current practice location address for Vontray Lewis Taylor is 2736 Spring St, Imperial, CA and can be reached out via phone at 951-775-0584.

Location: 2736 Spring St, Imperial, CA, 92251-3015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629739511
Provider Name
Vontray Lewis Taylor
Credential
Provider Entity Type
Individual
Gender
Male
Address
2736 Spring St, Imperial, CA, 92251-3015
Phone Number
951-775-0584
Fax Number
Provider Enumeration Date
01/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2736 Spring St
City
Imperial
State
California
Zip
92251-3015
Phone Number
951-775-0584
Fax Number
person
Provider Business Mailing Address Details
Address
2736 Spring St
City
Imperial
State
California
Zip
92251-3015
Phone Number
951-775-0584
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
87283 (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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