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ANGEL BOOTH CMT
NPI 1104578194
Massage Therapist in Sebastopol, CA

Active since January 21, 2022
120 BLOOMFIELD RD, SEBASTOPOL, CA 95472(415) 298-1618 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Angel Booth Cmt NPPES

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

ANGEL BOOTH CMT (NPI 1104578194) is an individual massage therapist in Sebastopol, California and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1104578194
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameANGEL BOOTHCredential: CMT
Location Address120 BLOOMFIELD RDSebastopol, CA 95472-5108
Mailing Address120 Bloomfield RdSebastopol, CA 95472-5108
Phone(415) 298-1618
Sole ProprietorYes
Enumeration DateJanuary 21, 2022
NPPES CertifiedJanuary 21, 2022
✔ NPI 1104578194 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
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.
120 BLOOMFIELD RD, Sebastopol, CA 95472
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Other Identifiers 1

Other00000169369CA · Alignment Healthcare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Angel Booth's NPI number?

The NPI number for Angel Booth is 1104578194. It was assigned to this individual provider in the NPPES registry on January 21, 2022.

Where is Angel Booth located?

Angel Booth practices at 120 Bloomfield Rd, Sebastopol, CA 95472. The listed phone number is (415) 298-1618.

What is Angel Booth'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 Angel Booth was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.