Mr. Edward Wiley Quisenberry III, CMT
Mr. Edward Wiley Quisenberry III, CMT is a Massage Therapist in Montclair, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
5206 Benito St Ste 103Montclair, CA 91763-2859
Phone: (909) 398-1092
Fax: (909) 621-9111
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Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X |
|---|
Record details
| NPI number | 1952510109 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CMT |
| Sole proprietor | Yes |
| NPI enumerated | May 22, 2007 |
| Last updated in NPPES | July 8, 2007 |
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