BONIFACE MWELE MBAYACHI CMTNMT NPI 1063015964

NPI Information

NPI: 1063015964
Provider Name: BONIFACE MWELE MBAYACHI, CMT,NMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
7765 HEALDSBURG AVE STE 13D
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 790-7328
Get Directions

Boniface Mwele Mbayachi, CMT,NMT is a massage therapist in Sebastopol, 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. Boniface Mwele Mbayachi, CMT,NMT NPI is 1063015964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7765 HEALDSBURG AVE STE 13D
SEBASTOPOL, CA
ZIP 95472-355
Phone: (707) 790-7328

The enumeration date for this NPI number is 11/21/2020 and was last updated on 11/6/2022.

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		78648	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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