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Mr. Edward Wiley Quisenberry III, CMT
Massage Therapist in Montclair, California
NPI 1952510109

Edward Wiley Quisenberry III is a Massage Therapist based in Montclair, CA. Edward Wiley Quisenberry III practices in Montclair, CA and has the professional credentials of CMT. The NPI Number for Edward Wiley Quisenberry III is 1952510109 and holds a License No. (California).

The current practice location address for Edward Wiley Quisenberry III is 5206 Benito St Ste 103, Montclair, CA and can be reached out via phone at 909-398-1092 and via fax at 909-621-9111.

Location: 5206 Benito St Ste 103, Montclair, CA, 91763-2859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952510109
Provider Name
Edward Wiley Quisenberry III
Credential
CMT
Provider Entity Type
Individual
Gender
Male
Address
5206 Benito St Ste 103, Montclair, CA, 91763-2859
Phone Number
909-398-1092
Fax Number
909-621-9111
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5206 Benito St Ste 103
City
Montclair
State
California
Zip
91763-2859
Phone Number
909-398-1092
Fax Number
909-621-9111
person
Provider Business Mailing Address Details
Address
5206 Benito St Ste 103
City
Montclair
State
California
Zip
91763-2859
Phone Number
909-398-1092
Fax Number
909-621-9111
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
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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