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Camilla Ballard, CMT
Massage Therapist in San Leandro, California
NPI 1871104638

Camilla Ballard is a Massage Therapist based in San Leandro, CA. Camilla Ballard practices in San Leandro, CA and has the professional credentials of CMT. The NPI Number for Camilla Ballard is 1871104638 and holds a License No. 75677 (California).

The current practice location address for Camilla Ballard is 63 Dutton Avenue 2, San Leandro, CA and can be reached out via phone at 151-033-3881.

Location: 63 Dutton Avenue 2, San Leandro, CA, 94577-2895
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871104638
Provider Name
Camilla Ballard
Credential
CMT
Provider Entity Type
Individual
Gender
Female
Address
63 Dutton Avenue 2, San Leandro, CA, 94577-2895
Phone Number
151-033-3881
Fax Number
Provider Enumeration Date
08/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
63 Dutton Avenue 2
City
San Leandro
State
California
Zip
94577-9457
Phone Number
151-033-3881
Fax Number
person
Provider Business Mailing Address Details
Address
63 Dutton Avenue 2
City
San Leandro
State
California
Zip
94577-9457
Phone Number
151-033-3881
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
75677 (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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