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SHEILA STAR COULBOURN CMT NPI 1124389556


NPI Information

NPI: 1124389556
Provider Name: SHEILA STAR COULBOURN, CMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
11011 VIA FRONTERA
SUITE A
SAN DIEGO, CA
ZIP 92127
Phone: (619) 980-9591
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Sheila Star Coulbourn, CMT is a massage therapist in San Diego, 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. Sheila Star Coulbourn, CMT NPI is 1124389556. 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:

11011 VIA FRONTERA
SUITE A
SAN DIEGO, CA
ZIP 92127-752
Phone: (619) 980-9591

The enumeration date for this NPI number is 6/1/2012 and was last updated on 6/12/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage Therapist4762CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14762OTHERCALIFORNIACERTIFIED MASSAGE THERAPIST

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

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