Provider Demographics
NPI:1063898104
Name:AFTON L ARNOLD
Entity type:Organization
Organization Name:AFTON L ARNOLD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:AFTON
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:530-748-7523
Mailing Address - Street 1:3007 ESTEPA DR
Mailing Address - Street 2:UNIT E
Mailing Address - City:CAMERON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95682-8186
Mailing Address - Country:US
Mailing Address - Phone:530-748-7523
Mailing Address - Fax:
Practice Address - Street 1:350 GREEN VALLEY RD
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-3927
Practice Address - Country:US
Practice Address - Phone:530-933-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63981174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty