Individual provider · Type 1 NPI
Ivan Wong, LMT
Massage Therapist · South Pasadena, CA
NPI number
1003404633
Active
Practice location
2000 Via Del Rey
South Pasadena, CA 91030-4146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MST-000417 (CA) |
Massage Therapist: 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.
Other massage therapist providers in South Pasadena
About NPI 1003404633
Ivan Wong, LMT's National Provider Identifier is 1003404633, issued on Jan 8, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in South Pasadena, CA. The record was last updated on Jan 8, 2021.