Provider Demographics
NPI:1225340995
Name:CACERES, ADRIANA TORRES (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:ADRIANA
Middle Name:TORRES
Last Name:CACERES
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-2202
Mailing Address - Country:US
Mailing Address - Phone:661-229-6466
Mailing Address - Fax:661-725-6767
Practice Address - Street 1:925 13TH AVE
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-2202
Practice Address - Country:US
Practice Address - Phone:661-229-6466
Practice Address - Fax:661-725-6767
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10233225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty