Provider Demographics
NPI:1699541334
Name:CRAIG, SAISHA T (CMT)
Entity type:Individual
Prefix:
First Name:SAISHA
Middle Name:T
Last Name:CRAIG
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 1:2400 HORIZON LN APT 148
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-2954
Mailing Address - Country:US
Mailing Address - Phone:925-354-4296
Mailing Address - Fax:
Practice Address - Street 1:2400 HORIZON LN APT 148
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-2954
Practice Address - Country:US
Practice Address - Phone:925-354-4296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38435225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist