Theresa Renee Rivera, NMT

NPI #1588391148 in Tamuning, Guam

Provider Information

NPI Number: 1588391148
Entity Type: Individual
Name: Theresa Renee Rivera, NMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: NMT
Enumeration Date: Aug 4, 2022
Last Updated: Aug 4, 2022

Practice Location

Address: 643 CHALAN SAN ANTONIO STE 108
City: Tamuning
State: Guam
ZIP Code: 96913-3644
Phone: (671) 687-8079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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