Individual provider · Type 1 NPI

Brenden Pettingill

Massage Therapist · San Francisco, CA

NPI number 1104690718 Active

Practice location

4200 18th St Ste 204
San Francisco, CA 94114-2449

Mailing address

1718 14th St
Oakland, CA 94607-1514

Other practice locations

  • 1718 14th St, Oakland, CA 94607-1514 · (916) 390-3701

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X79706 (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.

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About NPI 1104690718

Brenden Pettingill's National Provider Identifier is 1104690718, issued on Nov 14, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Francisco, CA. The record was last updated on Nov 14, 2023.