CHARLES HOLBROOK SWAN
NPI 1982209854
Massage Therapist in Encinitas, CA
Active since November 30, 2020
About Charles Holbrook Swan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES HOLBROOK SWAN (NPI 1982209854) is an individual massage therapist in Encinitas, California, licensed in California (4922) and active in the NPI registry since November 2020.
NPPES Registry Identity
NPI1982209854
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameCHARLES HOLBROOK SWAN
Location Address1712 GREENTREE RDEncinitas, CA 92024-3022
Mailing Address1712 Greentree RdEncinitas, CA 92024-3022 · (760) 613-8719
Phone(760) 613-8719
Sole ProprietorYes
Enumeration DateNovember 30, 2020
NPPES CertifiedNovember 30, 2020
✔ NPI 1982209854 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 · 4922
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.
1712 GREENTREE RD, Encinitas, CA 92024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982209854, enumerated as an "individual" on November 30, 2020.
The provider is located at 1712 GREENTREE RD ENCINITAS, CA 92024 and the phone number is (760) 613-8719.
Massage Therapist with taxonomy code 225700000X.
