Individual provider · Type 1 NPI
Glen Fraticelli, CMT
Massage Therapist · Travis Afb, CA
NPI number
1174331474
Active
Practice location
550 Travis Ave Bldg 434
Travis Afb, CA 94535-2108
Mailing address
2643 Seminole Cir
Fairfield, CA 94534-7872
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 98220 (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.
About NPI 1174331474
Glen Fraticelli, CMT's National Provider Identifier is 1174331474, issued on Dec 19, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Travis Afb, CA. The record was last updated on Dec 19, 2024.