Miss Tina Hope Distad, CMT | |
3540 Soquel Ave Ste C2, Santa Cruz, CA 95062-1769 | |
(831) 291-5008 | |
Not Available |
Full Name | Miss Tina Hope Distad |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 3540 Soquel Ave Ste C2, Santa Cruz, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700278017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 60351627 (Washington) | Secondary |
225700000X | Massage Therapist | 71677 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Miss Tina Hope Distad, CMT 3540 Soquel Ave Ste C2, Santa Cruz, CA 95062-1769 Ph: (831) 291-5008 | Miss Tina Hope Distad, CMT 3540 Soquel Ave Ste C2, Santa Cruz, CA 95062-1769 Ph: (831) 291-5008 |
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