Individual provider · Type 1 NPI

Myesha Fuller, CMT

Massage Therapist · Los Angeles, CA

NPI number 1578108486 Active

Practice location

8725 La Tijera Blvd
Los Angeles, CA 90045-3906

Call (424) 331-5661 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X40742 (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 1578108486

Myesha Fuller, CMT's National Provider Identifier is 1578108486, issued on Nov 14, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 14, 2019.