NICKOLAS BURRESCIA
NPI 1255105649
Massage Therapist in Yucca Valley, CA
- Individual
- Male
- Massage Therapist
About NICKOLAS BURRESCIA
This page provides the complete NPI Profile along with additional information for Nickolas Burrescia, a provider established in Yucca Valley, California with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1255105649 assigned on November 2023. The practitioner's primary taxonomy code is 225700000X with license number 80251 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1255105649 Verify this NPI
- Provider Name
- NICKOLAS BURRESCIA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7024 AIRWAY AVE STE F YUCCA VALLEY, CA 92284
- Location Phone
- (760) 821-7671
- Mailing Address
- 2266 YELLOW KNIFE RD YUCCA VALLEY, CA 92284
- Mailing Phone
- (760) 821-7671
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-07-2023
- Last Update Date
- 11-07-2023
- Code Navigator
Location Map
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.
- 80251
- 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 1255105649, enumerated as an "individual" on November 07, 2023.
The provider is located at 7024 AIRWAY AVE STE F YUCCA VALLEY, CA 92284 and the phone number is (760) 821-7671.
Massage Therapist with taxonomy code 225700000X.
