Provider Demographics
NPI:1861794349
Name:METZGER, STEVEN EARL (RN & MASSAGE THERAP)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:EARL
Last Name:METZGER
Suffix:
Gender:M
Credentials:RN & MASSAGE THERAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8908 ROSEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-4030
Mailing Address - Country:US
Mailing Address - Phone:916-761-4852
Mailing Address - Fax:
Practice Address - Street 1:8908 ROSEWOOD DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-4030
Practice Address - Country:US
Practice Address - Phone:916-761-4852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA277278163W00000X
225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No163W00000XNursing Service ProvidersRegistered Nurse