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NPI Profile for WILLIAM J THERIAULT in FOUNTAIN VALLEY, CA.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Massage Therapist |
225700000X |
| NPI Number | 1366054215 |
|
| Status | Active | |
| Credentials | MASSAGE PRACTITIONE | |
| Entity | Individual | |
| Enumeration date | 08/21/2020 | |
| Last updated | 08/21/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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WILLIAM J THERIAULT
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WILLIAM J THERIAULT, MASSAGE PRACTITIONE