Individual provider · Type 1 NPI

Gregory Mactavish

Massage Therapist · Los Angeles, CA

NPI number 1336955665 Active

Practice location

PO Box 462125
Los Angeles, CA 90046-8125

Call (310) 801-5150 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X185 (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 1336955665

Gregory Mactavish's National Provider Identifier is 1336955665, issued on Dec 11, 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 Dec 27, 2024.