Moon Leaf Derosier, CMT is a
Massage Therapist based in Atascadero, California. Moon Leaf Derosier is licensed to practice in California (license number 10405) and her current practice location is
5960b West Mall, Atascadero, California. She can be reached at her office (for appointments etc.) via phone at
(415) 706-6397.
NPI number for Moon Leaf Derosier is 1043663438 and her current mailing address is Po Box 4273, Paso Robles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043663438.
Healthcare Provider's Profile
Full Name | Moon Leaf Derosier |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 5960b West Mall, Atascadero, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043663438
- Provider Enumeration Date: 07/20/2016
- Last Update Date: 07/20/2016
Medical Identifiers
Medical identifiers for Moon Leaf Derosier such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043663438 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 10405 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Moon Leaf Derosier is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Moon Leaf Derosier, CMT Po Box 4273, Paso Robles, CA 93447-4273 Ph: (415) 706-6397 | Moon Leaf Derosier, CMT 5960b West Mall, Atascadero, CA 93422-4232 Ph: (415) 706-6397 |
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