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MOON LEAF DEROSIER CMT
NPI 1043663438
Massage Therapist in Atascadero, CA

Active since July 20, 2016
5960B WEST MALL, ATASCADERO, CA 93422(415) 706-6397 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moon Leaf Derosier Cmt NPPES

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

MOON LEAF DEROSIER CMT (NPI 1043663438) is an individual massage therapist in Atascadero, California, licensed in California (10405) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1043663438
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMOON LEAF DEROSIERCredential: CMT
Location Address5960B WEST MALLAtascadero, CA 93422-4232
Mailing AddressPo Box 4273Paso Robles, CA 93447-4273 · (415) 706-6397
Phone(415) 706-6397
Sole ProprietorYes
Enumeration DateJuly 20, 2016
✔ NPI 1043663438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CA · 10405
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.
5960B WEST MALL, Atascadero, CA 93422
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moon Leaf Derosier's NPI number?

The NPI number for Moon Leaf Derosier is 1043663438. It was assigned to this individual provider in the NPPES registry on July 20, 2016.

Where is Moon Leaf Derosier located?

Moon Leaf Derosier practices at 5960B West Mall, Atascadero, CA 93422. The listed phone number is (415) 706-6397.

What is Moon Leaf Derosier's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Moon Leaf Derosier was last updated on July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.