Provider Demographics
NPI:1871934752
Name:HASSELBRING, CRAIG (CMT)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:HASSELBRING
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4818 SOLOLA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92113-3535
Mailing Address - Country:US
Mailing Address - Phone:858-366-2513
Mailing Address - Fax:
Practice Address - Street 1:2835 CAMINO DEL RIO S
Practice Address - Street 2:SUITE 120A
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3825
Practice Address - Country:US
Practice Address - Phone:858-366-2513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28223225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist