Provider Demographics
NPI:1578639795
Name:MESSERSCHMIDT, CARLOS (LMT, NCTMB, CMTPT)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:
Last Name:MESSERSCHMIDT
Suffix:
Gender:M
Credentials:LMT, NCTMB, CMTPT
Other - Prefix:
Other - First Name:TALKING
Other - Middle Name:HANDS
Other - Last Name:THERAPEUTIC MASSAGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:230 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-2820
Mailing Address - Country:US
Mailing Address - Phone:949-515-0516
Mailing Address - Fax:
Practice Address - Street 1:170 E 17TH ST STE 208
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-3701
Practice Address - Country:US
Practice Address - Phone:949-413-1567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist