Most Relevant Information
Provider Data
| NPI Number: | 1003491903 |
| Provider Name: | RAPHAELLE GRUYS CMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 81672 |
Most Important Dates
| Enumeration Date: | 03/11/2021 |
| Last Updated: | 03/11/2021 |
Provider Practice Location
3621 RITCHIE RD
FAIRFIELD
CA
945341627
Practice Location Phone/Fax
| Phone: | 7072300092 |
| Fax: |
Provider Mailing Location
3621 RITCHIE RD
FAIRFIELD
CA
945341627
Provider Mailing Phone/Fax
| Phone: | 7072300092 |
| Fax: |