Individual provider · Type 1 NPI

Marco Antonio

Massage Therapist · Los Angeles, CA

NPI number 1245090745 Active

Practice location

11611 San Vicente Blvd
Los Angeles, CA 90049-5106

Call (925) 476-1767 Map

Mailing address

3020 Rowena Ave Apt 102
Los Angeles, CA 90039-2081

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X91285 (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 1245090745

Marco Antonio's National Provider Identifier is 1245090745, issued on Mar 21, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 22, 2024.