Individual provider · Type 1 NPI

Charles C. Koo, MT PRACTITIONER

Massage Therapist · Palo Alto, CA

NPI number 1194001875 Active

Practice location

430 Sherman Ave Ste 205
Palo Alto, CA 94306-1853

Call (650) 701-7246 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24005 (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 1194001875

Charles C. Koo, MT PRACTITIONER's National Provider Identifier is 1194001875, issued on Oct 26, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Palo Alto, CA. The record was last updated on Oct 26, 2011.