Individual provider · Type 1 NPI

Stasha Provitt

Massage Therapist · Pasadena, CA

NPI number 1629647151 Active

Practice location

277 Pleasant St Unit 109
Pasadena, CA 91101-3198

Call (213) 434-8672 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1629647151

Stasha Provitt's National Provider Identifier is 1629647151, issued on Jun 19, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pasadena, CA. The record was last updated on Jun 19, 2021.