MR. KYLE MICHAEL MATHER NPI 1295099844

NPI Information

NPI: 1295099844
Provider Name: MR. KYLE MICHAEL MATHER
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
6001 SHELLMOUND ST STE 115
EMERYVILLE, CA
ZIP 94608
Phone: (510) 653-5200
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MR. Kyle Michael Mather is a massage therapist in Emeryville, CA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MR. Kyle Michael Mather NPI is 1295099844. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6001 SHELLMOUND ST STE 115
EMERYVILLE, CA
ZIP 94608-924
Phone: (510) 653-5200

The enumeration date for this NPI number is 6/28/2012 and was last updated on 6/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		15731	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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