TAYLOR LEWIS PHD, CSCS, CMT, CEP
NPI 1528808862
Massage Therapist in San Rafael, CA
Active since May 24, 2024
About Taylor Lewis Phd, Cscs, Cmt, Cep NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAYLOR LEWIS PHD, CSCS, CMT, CEP (NPI 1528808862) is an individual massage therapist in San Rafael, California, licensed in California (74953) and active in the NPI registry since May 2024.
NPPES Registry Identity
NPI1528808862
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameTAYLOR LEWISCredential: PHD, CSCS, CMT, CEP
Location Address1009 2ND STSan Rafael, CA 94901-3930
Mailing Address1009 2nd StSan Rafael, CA 94901-3930 · (559) 381-6124
Phone(559) 381-6124
Sole ProprietorYes
Enumeration DateMay 24, 2024
NPPES CertifiedMay 24, 2024
✔ NPI 1528808862 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 · 74953
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.
1009 2ND ST, San Rafael, CA 94901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528808862, enumerated as an "individual" on May 24, 2024.
The provider is located at 1009 2ND ST SAN RAFAEL, CA 94901 and the phone number is (559) 381-6124.
Massage Therapist with taxonomy code 225700000X.
