Provider Demographics
NPI:1740619196
Name:DOWNING, MONICA (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:DOWNING
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 1:2149 E GARVEY AVE N STE A9
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-1508
Mailing Address - Country:US
Mailing Address - Phone:626-966-4070
Mailing Address - Fax:
Practice Address - Street 1:2149 E GARVEY AVE N STE A9
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-1508
Practice Address - Country:US
Practice Address - Phone:626-966-4070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20033225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist