Provider Demographics
NPI:1487538138
Name:PARETTA, CRISTINE A
Entity type:Individual
Prefix:
First Name:CRISTINE
Middle Name:A
Last Name:PARETTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:
Other - Last Name:PARETTA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CMT CMLDT
Mailing Address - Street 1:49889 BATES ST
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-3504
Mailing Address - Country:US
Mailing Address - Phone:949-370-9353
Mailing Address - Fax:
Practice Address - Street 1:49889 BATES ST
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-3504
Practice Address - Country:US
Practice Address - Phone:949-370-9353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90410225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist