Individual provider · Type 1 NPI

Phyllis Douglass, CAMTC# 56843

Massage Therapist · Glendora, CA

NPI number 1447852017 Active

Practice location

340 S Glendora Ave
Glendora, CA 91741-6255

Call (909) 967-0246 Map

Mailing address

1901 Canopy Ln
La Verne, CA 91750-3514

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X56843 (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 1447852017

Phyllis Douglass, CAMTC# 56843's National Provider Identifier is 1447852017, issued on Nov 10, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Glendora, CA. The record was last updated on Nov 10, 2020.