Individual provider · Type 1 NPI
Charles Ferguson, CMT
Massage Therapist · Philadelphia, PA
NPI number
1285774364
Active
Practice location
6813 Germantown Ave
Philadelphia, PA 19119-2112
Mailing address
1408 Stotesbury Ave
Wyndmoor, PA 19038-7444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 28469 (PA) |
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 1285774364
Charles Ferguson, CMT's National Provider Identifier is 1285774364, issued on Feb 7, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.