What is Laurie Mixter's NPI number?

The NPI number assigned to this healthcare provider is 1013134121, enumerated as a individual on April 19, 2007.

Where is the provider located?

The provider is located at 15644 POMERADO RD SUITE 304 POWAY, CA 92064 and the phone number is (760) 315-1555.

What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

LAURIE MIXTER MS, RD, HHP - NPI 1013134121 - Massage Therapist in Poway, CA

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About Laurie Mixter Ms, Rd, Hhp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURIE MIXTER MS, RD, HHP (NPI 1013134121) is an individual massage therapist in Poway, California, licensed in California (CMT 735) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1013134121

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameLAURIE MIXTERCredential: MS, RD, HHP

Location Address15644 POMERADO RD, SUITE 304Poway, CA 92064-2400

Mailing Address15644 Pomerado Rd, Suite 304Poway, CA 92064-2400 · (760) 315-1555

Phone(760) 315-1555

Fax(760) 788-1659

Sole ProprietorYes

Enumeration DateApril 19, 2007

Last NPPES UpdateNovember 13, 2013

✔ NPI 1013134121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in CA · CMT 735

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.

Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 887748 (CA)

15644 POMERADO RD, Poway, CA 92064

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