Most Relevant Information
Provider Data
| NPI Number: | 1003405416 |
| Provider Name: | KRISTIN LEIGH MANON CMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 81854 |
Most Important Dates
| Enumeration Date: | 01/12/2021 |
| Last Updated: | 01/12/2021 |
Provider Practice Location
15724 MAIN ST
CHINO
CA
917089300
Practice Location Phone/Fax
| Phone: | 9095735188 |
| Fax: |
Provider Mailing Location
15724 MAIN ST
CHINO
CA
917089300
Provider Mailing Phone/Fax
| Phone: | 9095735188 |
| Fax: |