KEISUKE IDA

ROSEVILLE, CA
NPI1568276954
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
Enumeration Date2025-02-05
Last Update Date2025-02-05
Business Address
Mr. KEISUKE IDA ATC, MT
2040 PADSIDE DR
ROSEVILLE, CA 95747-8806
Phone number: 916-865-7990
Mailing Address
Mr. KEISUKE IDA ATC, MT
2040 PADSIDE DR
ROSEVILLE, CA 95747-8806
Phone number: 916-865-7990