IndividualActive
Alexa Theodora, RN
NPI 1124950001 · Nurse Massage Therapist (NMT) · Corona Del Mar, CA
Provider details
- NPI number
- 1124950001
- Entity type
- Individual
- Primary specialty
- Nurse Massage Therapist (NMT)Nursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 95391757 (CA)
Practice location
633 Cameo Highlands Dr
Corona Del Mar, CA 92625-2702
Phone: (949) 322-3481
Mailing address
633 Cameo Highlands Dr
Corona Del Mar, CA 92625-2702
Registry dates
- Enumerated
- 2026-06-02
- Last updated
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.