Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 34361 | CA |
N | 225700000X | Massage Therapist | 14893 | OR |
N | 225700000X | Massage Therapist | 61333 | CA |
NPI | 1154577153 |
---|---|
Provider Name | Noah Volz |
First Address | Oakland, CA 94610-1519 |
Second Address | Oakland, CA 94609-3556 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2008 |
Last Update Date | 17/06/2019 |