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CAMILLA BALLARD CMT
NPI 1871104638
Massage Therapist in San Leandro, CA

Active since August 13, 2020
63 DUTTON AVENUE 2, SAN LEANDRO, CA 94577(151) 033-3881 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Camilla Ballard Cmt NPPES

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

CAMILLA BALLARD CMT (NPI 1871104638) is an individual massage therapist in San Leandro, California, licensed in California (75677) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1871104638
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameCAMILLA BALLARDCredential: CMT
Location Address63 DUTTON AVENUE 2San Leandro, CA 94577-9457
Mailing Address63 Dutton Avenue 2San Leandro, CA 94577-2895 · (510) 333-3881 · Fax (510) 878-7654
Phone(151) 033-3881
Sole ProprietorYes
Enumeration DateAugust 13, 2020
NPPES CertifiedAugust 13, 2020
✔ NPI 1871104638 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 · 75677
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.
63 DUTTON AVENUE 2, San Leandro, CA 94577
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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 Camilla Ballard's NPI number?

The NPI number for Camilla Ballard is 1871104638. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Where is Camilla Ballard located?

Camilla Ballard practices at 63 Dutton Avenue 2, San Leandro, CA 94577. The listed phone number is (151) 033-3881.

What is Camilla Ballard'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 Camilla Ballard was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.