PHYLLIS DOUGLASS CAMTC# 56843 NPI 1447852017

NPI Information

  • NPI: 1447852017
  • Provider Name: PHYLLIS DOUGLASS, CAMTC# 56843
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 340 S GLENDORA AVE
    GLENDORA, CA
    ZIP 91741
  • Phone: (909) 967-0246

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NPI Details

Phyllis Douglass, CAMTC# 56843 is a massage therapist in Glendora, 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. Phyllis Douglass, CAMTC# 56843 NPI is 1447852017. 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:

340 S GLENDORA AVE
GLENDORA, CA
ZIP 91741-255
Phone: (909) 967-0246

The enumeration date for this NPI number is 11/10/2020 and was last updated on 11/10/2020.

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
1225700000XMassage Therapist56843CALIFORNIAYes

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: 3/30/2025

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