Individual provider · Type 1 NPI

Mark Fadil, CMP

Massage Therapist · Palo Alto, CA

NPI number 1164384335 Active

Practice location

260 Sheridan Ave Ste B40
Palo Alto, CA 94306-2054

Call (650) 823-1091 Map

Mailing address

2005 Park Blvd
Palo Alto, CA 94306-1143

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X29031 (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 1164384335

Mark Fadil, CMP's National Provider Identifier is 1164384335, issued on Nov 26, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Palo Alto, CA. The record was last updated on Nov 26, 2025.