Individual provider · Type 1 NPI

Marissa Tait, CMT

Massage Therapist · Valley Village, CA

NPI number 1528501749 Active

Practice location

11706 Kling St, Apt 8
Valley Village, CA 91607-4045

Call (323) 972-1727 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X48655 (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 1528501749

Marissa Tait, CMT's National Provider Identifier is 1528501749, issued on Nov 19, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Valley Village, CA. The record was last updated on Nov 19, 2016.