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KATHRYN DEBACA A.S., LCMT
NPI 1730577917
Massage Therapist in Stockton, CA

Active since December 22, 2014
1424 MORRISON AVE, STOCKTON, CA 95205(209) 430-1461 Get Directions Write a Review

NPPES record last updated: April 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn Debaca A.s., Lcmt NPPES

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

KATHRYN DEBACA A.S., LCMT (NPI 1730577917) is an individual massage therapist in Stockton, California, licensed in California (60873) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1730577917
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKATHRYN DEBACACredential: A.S., LCMT
Location Address1424 MORRISON AVEStockton, CA 95205-3538
Mailing AddressPo Box 1841Stockton, CA 95201-1841 · (209) 430-1461
Phone(209) 430-1461
Sole ProprietorYes
Enumeration DateDecember 22, 2014
Last NPPES UpdateApril 19, 2016
✔ NPI 1730577917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CA · 60873
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.
Also ListedSpecialistTaxonomy 174400000X · License 66723 (CA)
Also ListedRehabilitation PractitionerTaxonomy 225400000X · License 66723 (CA)
Also ListedSpecialist/TechnologistTaxonomy 225500000X · License 66723 (CA)
1424 MORRISON AVE, Stockton, CA 95205
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Other Identifiers 1

Medicare PIN1730577917CA

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 Kathryn Debaca's NPI number?

The NPI number for Kathryn Debaca is 1730577917. It was assigned to this individual provider in the NPPES registry on December 22, 2014.

Where is Kathryn Debaca located?

Kathryn Debaca practices at 1424 Morrison Ave, Stockton, CA 95205. The listed phone number is (209) 430-1461.

What is Kathryn Debaca'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 Kathryn Debaca was last updated on April 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.