BILL DEAN ENNIS MASSAGE THERAPIST NPI 1295083814

NPI Information

Bill Dean Ennis, MASSAGE THERAPIST is a massage therapist in Modesto, 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. Bill Dean Ennis, MASSAGE THERAPIST NPI is 1295083814. 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:

3116 OTIS AV
MODESTO, CA
ZIP 95350
Phone: (209) 567-1432

The enumeration date for this NPI number is 8/29/2012 and was last updated on 8/29/2012.

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:

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