Provider Demographics
NPI:1093575250
Name:MEIER, ELISABETH ANNE (LMT)
Entity Type:Individual
Prefix:MRS
First Name:ELISABETH
Middle Name:ANNE
Last Name:MEIER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MISS
Other - First Name:ELISABETH
Other - Middle Name:ANNE
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:1144 BRASADO WAY
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92508-8716
Mailing Address - Country:US
Mailing Address - Phone:949-584-9169
Mailing Address - Fax:
Practice Address - Street 1:1144 BRASADO WAY
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92508-8716
Practice Address - Country:US
Practice Address - Phone:949-584-9169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18838225700000X
HIMAT-16618225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist