Individual provider · Type 1 NPI

Tim Pham

Massage Therapist · Modesto, CA

NPI number 1104738392 Active

Practice location

4200 Semallon Dr
Modesto, CA 95356-1142

Call (209) 681-5813 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X103577 (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 1104738392

Tim Pham's National Provider Identifier is 1104738392, issued on Sep 21, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Modesto, CA. The record was last updated on Sep 21, 2026.