DENISE ANGELA JOAN MITCHELL
NPI 1063019073
Massage Therapist in San Rafael, CA

Active since October 02, 2020
131 ROUNDTREE BLVD, SAN RAFAEL, CA 94903(415) 328-4884 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Massage Therapist

About DENISE MITCHELL

This page provides the complete NPI Profile along with additional information for Denise Mitchell, a provider established in San Rafael, California with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1063019073 assigned on October 2020. The practitioner's primary taxonomy code is 225700000X with license number 66791 (CA). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1063019073 Verify this NPI
Provider Name
DENISE ANGELA JOAN MITCHELL
Gender
Female
Entity Type
Individual
Location Address
131 ROUNDTREE BLVD SAN RAFAEL, CA 94903
Location Phone
(415) 328-4884
Mailing Address
131 ROUNDTREE BLVD SAN RAFAEL, CA 94903
Mailing Phone
(415) 328-4884
Is Sole Proprietor?
Yes
Enumeration Date
10-02-2020
Last Update Date
10-02-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
66791
License State
CA
Taxonomy Description
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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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063019073, enumerated as an "individual" on October 02, 2020.

The provider is located at 131 ROUNDTREE BLVD SAN RAFAEL, CA 94903 and the phone number is (415) 328-4884.

Massage Therapist with taxonomy code 225700000X.