MR. EDWARD PAUL CORREA CMT
NPI 1376332627
Massage Therapist in Stockton, CA
Active since May 03, 2025
About Mr. Edward Paul Correa Cmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EDWARD PAUL CORREA CMT (NPI 1376332627) is an individual massage therapist in Stockton, California, licensed in California (99203) and active in the NPI registry since May 2025.
NPPES Registry Identity
NPI1376332627
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. EDWARD PAUL CORREACredential: CMT
Location Address1345 N VAN BUREN STStockton, CA 95203-1841
Mailing Address1345 N Van Buren StStockton, CA 95203-1841 · (415) 570-2278
Phone(415) 570-2278
Sole ProprietorNo
Enumeration DateMay 3, 2025
NPPES CertifiedMay 3, 2025
✔ NPI 1376332627 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 · 99203
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.
1345 N VAN BUREN ST, Stockton, CA 95203
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376332627, enumerated as an "individual" on May 03, 2025.
The provider is located at 1345 N VAN BUREN ST STOCKTON, CA 95203 and the phone number is (415) 570-2278.
Massage Therapist with taxonomy code 225700000X.