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NPI Profile for KATHRYN DEBACA in STOCKTON, 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 | |||
Rehabilitation Practitioner |
225400000X | |||
Specialist |
174400000X | |||
Specialist/Technologist |
225500000X |
| NPI Number | 1730577917 |
|
| Status | Active | |
| Credentials | A.S., LCMT | |
| Entity | Individual | |
| Enumeration date | 12/22/2014 | |
| Last updated | 04/19/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KATHRYN DEBACA
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KATHRYN DEBACA, A.S., LCMT