Provider Demographics
NPI:1932084258
Name:FERRY, CAMI ELIZABETH (LMT)
Entity type:Individual
Prefix:
First Name:CAMI
Middle Name:ELIZABETH
Last Name:FERRY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 E YORKSHIRE DR APT 10
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-5960
Mailing Address - Country:US
Mailing Address - Phone:209-663-9953
Mailing Address - Fax:
Practice Address - Street 1:167 COMMERCE ST # 101
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95240-0845
Practice Address - Country:US
Practice Address - Phone:209-649-6657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA99113225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist