Distad, Tina Hope

Distad, Tina Hope is an sole proprietor health care provider with primary practice located at 3540 Soquel Ave Ste C2 , Santa Cruz CA 95062-1769. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Distad, Tina Hope can be contacted via phone (831) 291-5008.

Contact Information

Primary practice address
3540 Soquel Ave Ste C2 Santa Cruz CA 95062-1769
Phone: (831) 291-5008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 60351627 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 71677 California

Profile Details

NPI number 1700278017
LBN Legal business name Distad, Tina Hope
Credentials CMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2015
Last updated Mar 2nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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