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Tina Distad, CMT
NPI 1700278017 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3540 Soquel Ave Ste C2
Santa Cruz, CA 95062 - Phone
- (831) 291-5008
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 225700000X
- Licence states on file
- WA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California