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FRESNO KINETIC BODYWORKS NPI 1073900627


NPI Information

NPI: 1073900627
Provider Name: FRESNO KINETIC BODYWORKS
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
336 W BEDFORD AVE
SUITE 108
FRESNO, CA
ZIP 93711
Phone: (559) 492-6848
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FRESNO KINETIC BODYWORKS is a massage therapist in Fresno, 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. FRESNO KINETIC BODYWORKS NPI is 1073900627. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

336 W BEDFORD AVE
SUITE 108
FRESNO, CA
ZIP 93711-185
Phone: (559) 492-6848

The provider's authorized official is Michael David Greene .
The authorized official title is Owner/therapist and has the following contact phone number (559) 492-6848.

The enumeration date for this NPI number is 4/22/2015 and was last updated on 4/22/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage Therapist61093CALIFORNIAYes

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

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