Organization Name: | REDWOOD OSTEOPATHY INC |
NPI Number: | 1861769739 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATE MCCAFFREY (PRESIDENT/OWNER) |
Mailing Address: | 1225 Central Ave Suite 12 Mckinleyville |
State: | CA US |
Postal Code: | 955194390 |
Phone Number: | 7076336146 |
Fax Number: | 7076336147 |
NPI Enumeration Date: | 11/21/2011 |
NPI Last Update Date: | 02/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 20A8316 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |