KATHRYN DEBACA A.S. LCMT NPI 1730577917

NPI Information

  • NPI: 1730577917
  • Provider Name: KATHRYN DEBACA, A.S., LCMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 1424 MORRISON AVE
    STOCKTON, CA
    ZIP 95205
  • Phone: (209) 430-1461

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NPI Details

Kathryn Debaca, A.S., LCMT is a massage therapist in Stockton, 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. Kathryn Debaca, A.S., LCMT NPI is 1730577917. 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:

1424 MORRISON AVE
STOCKTON, CA
ZIP 95205-538
Phone: (209) 430-1461

The enumeration date for this NPI number is 12/22/2014 and was last updated on 4/19/2016.

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
1174400000XSpecialist66723CALIFORNIANo
2225500000XSpecialist/Technologist66723CALIFORNIANo
3225400000XRehabilitation Practitioner66723CALIFORNIANo
4225700000XMassage Therapist60873CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11730577917MEDICARE PINCALIFORNIA

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: 3/30/2025

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