MR. EDWARD WILEY QUISENBERRY III CMT
NPI 1952510109
Massage Therapist in Montclair, CA
- Individual
- Male
- Massage Therapist
About EDWARD QUISENBERRY
This page provides the complete NPI Profile along with additional information for Edward Quisenberry, a provider established in Montclair, California with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1952510109 assigned on May 2007. The practitioner's primary taxonomy code is 225700000X. The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1952510109 Verify this NPI
- Provider Name
- MR. EDWARD WILEY QUISENBERRY III CMT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5206 BENITO ST STE 103 MONTCLAIR, CA 91763
- Location Phone
- (909) 398-1092
- Location Fax
- (909) 621-9111
- Mailing Address
- 5206 BENITO ST STE 103 MONTCLAIR, CA 91763
- Mailing Phone
- (909) 398-1092
- Mailing Fax
- (909) 621-9111
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-22-2007
- Last Update Date
- 07-08-2007
- 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
- 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 1952510109, enumerated as an "individual" on May 22, 2007.
The provider is located at 5206 BENITO ST STE 103 MONTCLAIR, CA 91763 and the phone number is (909) 398-1092.
Massage Therapist with taxonomy code 225700000X.
