Brenda Lee Waalkens-Breedlove
Massage Therapist
22280 City Center Dr Apt 4225
Hayward
, California 94541-2814
Brenda Lee Waalkens-Breedlove
Massage Therapist
22280 City Center Dr Apt 4225
Hayward
, California 94541-2814
(510) 209-2159
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Brenda Lee Waalkens-Breedlove
- 22280 City Center Dr Apt 4225
- Hayward, CA
- Zip : 94541-2814
- Phone : (510) 209-2159
Second Address
- Brenda Lee Waalkens-Breedlove
- 22280 City Center Dr Apt 4225
- Hayward, CA
- Zip : 94541-2814
- Phone : (510) 397-8177
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FAQs
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What type of doctor is Brenda Lee Waalkens-Breedlove
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Is Brenda Lee Waalkens-Breedlove a sole practitioner?
Is Brenda Lee Waalkens-Breedlove accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 23882 | CA |
National Provider Identifier
| NPI | 1013523752 |
|---|---|
| Provider Name | Brenda Lee Waalkens-Breedlove |
| First Address | Hayward, CA 94541-2814 |
| Second Address | Hayward, CA 94541-2814 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/09/2020 |
| Last Update Date | 18/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 23882 | CAMTC (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.