Individual provider · Type 1 NPI
Jack Acosta, LMT
Massage Therapist · Long Beach, CA
NPI number
1528834702
Active
Practice location
6621 E Pacific Coast Hwy Ste 120
Long Beach, CA 90803-4244
Fax (562) 414-5002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 77975 (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 1528834702
Jack Acosta, LMT's National Provider Identifier is 1528834702, issued on Nov 29, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Long Beach, CA. The record was last updated on Nov 29, 2023.