SRARU MOEUN CMT LMT NPI 1063755312

NPI Information

NPI: 1063755312
Provider Name: SRARU MOEUN, CMT, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
9108 LAGUNA MAIN ST
SUITE 1A
ELK GROVE, CA
ZIP 95758
Phone: (916) 421-4117
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Sraru Moeun, CMT, LMT is a massage therapist in Elk Grove, CA. The provider is 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. Sraru Moeun, CMT, LMT NPI is 1063755312. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9108 LAGUNA MAIN ST
SUITE 1A
ELK GROVE, CA
ZIP 95758-450
Phone: (916) 421-4117

The enumeration date for this NPI number is 4/4/2013 and was last updated on 4/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		33470	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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