| The Heavenly Spa | |
|
817 Coffee Rd, Suite D, Modesto, CA 95355-4241 | |
| (209) 527-6100 | |
| (209) 527-6107 |
| Full Name | The Heavenly Spa |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 817 Coffee Rd, Modesto, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336419324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 11164 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| The Heavenly Spa 817 Coffee Rd, Suite D, Modesto, CA 95355-4241 Ph: (209) 527-6100 | The Heavenly Spa 817 Coffee Rd, Suite D, Modesto, CA 95355-4241 Ph: (209) 527-6100 |
Cyndel Corgiat, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 Coffee Rd Ste D, Modesto, CA 95355 Phone: 209-527-6100 | |
Ms. Kristi Abigail Carson, C.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2020 Coffee Rd, Ste. D-3, Modesto, CA 95355 Phone: 209-525-9133 Fax: 209-523-1495 | |
Luisana Ramos Baptista, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 Coffee Rd Ste D, Modesto, CA 95355 Phone: 209-527-6100 | |
Mr. Bret Eric Lampman, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 El Vista Ave, Modesto, CA 95354 Phone: 209-526-1284 | |
Brittney Ann Velasco, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 Coffee Rd, Suite D, Modesto, CA 95355 Phone: 209-527-6100 | |
Ms. Jennifer Lee Jefferson, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 Coffee Rd Ste D, Modesto, CA 95355 Phone: 209-527-6100 | |
Shannon Fernandes, C.M.T.,C.R. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 Standiford Ave Ste B6, Modesto, CA 95350 Phone: 209-484-5683 |