Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Moon Leaf Derosier, CMT

Individual provider Massage Therapist · NPI 1043663438

Moon Leaf Derosier, CMT is a Massage Therapist in Atascadero, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
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Practice location Address checks out

5960B W Mall
Atascadero, CA 93422-4232
Phone: (415) 706-6397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 10405 (CA)

Record details

NPI number1043663438
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMT
Sole proprietorYes
NPI enumeratedJuly 20, 2016
Last updated in NPPESJuly 20, 2016

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