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

Individual provider Massage Therapist · NPI 1043663438

Moon Leaf Derosier, CMT is a Massage Therapist in Atascadero, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
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Practice location Address checks out

5960B W Mall
Atascadero, CA 93422-4232
Phone: (415) 706-6397
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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 10405 (CA)

Record details

NPI number1043663438
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMT
Sole proprietorYes
NPI enumeratedJuly 20, 2016
Last updated in NPPESJuly 20, 2016
Mailing addressPo Box 4273, Paso Robles, CA 93447-4273

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