Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairy Dog Mother

Organization Reflexologist · NPI 1720531890

Fairy Dog Mother is a Reflexologist in Fallbrook, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

1503 Riverview Dr
Fallbrook, CA 92028-1857
Phone: (760) 617-9229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Reflexologist (primary) Taxonomy 173C00000X · Licence 11410 (CA)

Record details

NPI number1720531890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leisa Grajek — Owner · (760) 617-9229
NPI enumeratedJuly 26, 2016
Last updated in NPPESJuly 26, 2016
Mailing address1503 Riverview Dr, Fallbrook, CA 92028-1857

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