Dustin Bartholomay, is a
Massage Therapist based in Mount Shasta, California. Dustin Bartholomay is licensed to practice in California (license number 93004) and his current practice location is
1180 S Mount Shasta Blvd Ste C, Mount Shasta, California. He can be reached at his office (for appointments etc.) via phone at
(530) 925-4824.
NPI number for Dustin Bartholomay is 1811675945 and his current mailing address is 4115 Hummingbird Way, Mount Shasta, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811675945.
Healthcare Provider's Profile
| Full Name | Dustin Bartholomay |
|---|
| Gender | Male |
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| Speciality | Massage Therapist |
|---|
| Location | 1180 S Mount Shasta Blvd Ste C, Mount Shasta, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811675945
- Provider Enumeration Date: 07/10/2023
- Last Update Date: 10/30/2025
Medical Identifiers
Medical identifiers for Dustin Bartholomay such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1811675945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | 93004 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dustin Bartholomay is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dustin Bartholomay, 4115 Hummingbird Way, Mount Shasta, CA 96067-9164 Ph: (530) 925-4824 | Dustin Bartholomay, 1180 S Mount Shasta Blvd Ste C, Mount Shasta, CA 96067-2764 Ph: (530) 925-4824 |
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