Provider Demographics
NPI:1073685228
Name:ROSSI, MARIA (CMT)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:
Last Name:ROSSI
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SUZANNE LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95066-4522
Mailing Address - Country:US
Mailing Address - Phone:831-440-9201
Mailing Address - Fax:
Practice Address - Street 1:5521 SCOTTS VALLEY DR
Practice Address - Street 2:SUITE 215
Practice Address - City:SCOTTS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95066-3469
Practice Address - Country:US
Practice Address - Phone:831-440-9201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist