Fresno Kinetic Bodyworks

NPI 1073900627 - Massage Therapist - 225700000X

NPI Details
NPI 1073900627
Enumeration Date 04/22/2015
Last Updated 04/22/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name MICHAEL DAVID MICHAEL
Position OWNER/THERAPIST
Phone (559) 492-6848
Fax
Practice Location
336 W BEDFORD AVE
SUITE 108
FRESNO CA, 93711-6185, US
Phone (559) 492-6848
Fax
Business Location
336 W BEDFORD AVE
SUITE 108
FRESNO CA, 93711-6185, US
Phone (559) 492-6848
Fax
Toxanomy
Taxonomy Code 225700000X
License State California
License Number 61093
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According to our database, Fresno Kinetic Bodyworks NPI is 1073900627, taxonomy code is 225700000X and license number is 61093, license state is located at California. Fresno Kinetic Bodyworks physically located at 336 W Bedford Ave, Fresno CA, 93711-6185. NPI Number 1033115704 has the healthcare provider type.

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1073900627 NPI number is provided on an as is basis without warranty of any kind. 1073900627 is maintained by the National Plan & Provider Enumeration System. The contents of Fresno Kinetic Bodyworks are for informational purposes only.