Jonathan Banister, M.T.
NPI #1497055396 in Alturas, California
Provider Information
- NPI Number
- 1497055396
- Entity Type
- Individual
- Name
- Jonathan Banister, M.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- M.T.
- Enumeration Date
- Oct 25, 2010
- Last Updated
- Oct 25, 2010
Practice Location
- Address
- 112 E 12TH ST
- City
- Alturas
- State
- California
- ZIP Code
- 96101-3306
- Phone
- (530) 249-5352
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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