Mr Edward Wiley Quisenberry Iii, CMT - Massage Therapist in Montclair, CA

Mr Edward Wiley Quisenberry Iii, CMT is a Massage Therapist based in Montclair, California. Mr Edward Wiley Quisenberry Iii is licensed to practice in * (Not Available) (license number ) and his current practice location is 5206 Benito St Ste 103, Montclair, California. He can be reached at his office (for appointments etc.) via phone at (909) 398-1092.

NPI number for Mr Edward Wiley Quisenberry Iii is 1952510109 and his current mailing address is 5206 Benito St Ste 103, Montclair, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952510109.

Contact Information

Mr Edward Wiley Quisenberry Iii, CMT
5206 Benito St Ste 103,
Montclair, CA 91763-2859
(909) 398-1092
(909) 621-9111

Map and Direction




Healthcare Provider's Profile

Full NameMr Edward Wiley Quisenberry Iii
GenderMale
SpecialityMassage Therapist
Location5206 Benito St Ste 103, Montclair, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1952510109
  • Provider Enumeration Date: 05/22/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Edward Wiley Quisenberry Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952510109NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist (* (Not Available))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. Mr Edward Wiley Quisenberry Iii 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 AddressPractice Location Address
Mr Edward Wiley Quisenberry Iii, CMT
5206 Benito St Ste 103,
Montclair, CA 91763-2859

Ph: (909) 398-1092
Mr Edward Wiley Quisenberry Iii, CMT
5206 Benito St Ste 103,
Montclair, CA 91763-2859

Ph: (909) 398-1092

Reviews and Comments


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