Bill Dean Ennis, MASSAGETHERAPIST
Bill Dean Ennis, MASSAGETHERAPIST is a Massage Therapist in Modesto, California. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
3116 Otis AveModesto, CA 95350
Phone: (209) 567-1432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X |
|---|
Record details
| NPI number | 1295083814 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MASSAGETHERAPIST |
| Sole proprietor | Yes |
| NPI enumerated | August 29, 2012 |
| Last updated in NPPES | August 29, 2012 |
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