Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Beau Nicholas Thiesen, CMT, CPT, CES

Individual provider Massage Therapist · NPI 1689919268

Beau Nicholas Thiesen, CMT, CPT, CES is a Massage Therapist in Camarillo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
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Practice location Address checks out

231 Village Commons Blvd Ste 19
Camarillo, CA 93012-7818
Phone: (805) 586-4694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 52963 (CA)

Record details

NPI number1689919268
Entity typeIndividual (Type 1)
GenderMale
Credentials CMT , CPT , CES
Sole proprietorYes
NPI enumeratedDecember 7, 2012
Last updated in NPPESSeptember 2, 2016

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