Provider Demographics
NPI:1851805287
Name:BIANCO, DAWN ALEXIS (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MISS
First Name:DAWN
Middle Name:ALEXIS
Last Name:BIANCO
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 1:2866 PARK MARINA DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2804
Mailing Address - Country:US
Mailing Address - Phone:530-524-9414
Mailing Address - Fax:
Practice Address - Street 1:2866 PARK MARINA DR
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2804
Practice Address - Country:US
Practice Address - Phone:530-524-9414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-21
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist