SPORTS MASSAGE MARIN NPI 1588106942

NPI Information

SPORTS MASSAGE MARIN is a massage therapist in Corte Madera, 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. SPORTS MASSAGE MARIN NPI is 1588106942. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

645 TAMALPAIS DR
CORTE MADERA, CA
ZIP 94925-613
Phone: (415) 310-0878

The provider's authorized official is Stefan Smith .
The authorized official title is General Partner and has the following contact phone number (415) 310-0878.

The enumeration date for this NPI number is 11/15/2016 and was last updated on 11/15/2016.

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:

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