MRS. OLGA IVANILOVA CMT NPI 1982263349

NPI Information

NPI: 1982263349
Provider Name: MRS. OLGA IVANILOVA, CMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
12843 SAMOLINE AVE
DOWNEY, CA
ZIP 90242
Phone: (240) 383-6704
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MRS. Olga Ivanilova, CMT is a massage therapist in Downey, 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. MRS. Olga Ivanilova, CMT NPI is 1982263349. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12843 SAMOLINE AVE
DOWNEY, CA
ZIP 90242-134
Phone: (240) 383-6704

The enumeration date for this NPI number is 6/10/2019 and was last updated on 6/10/2019.

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		63117	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: 4/28/2024

NPI Synchronization or Removal

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