Individual provider · Type 1 NPI
Edgar Khachaturov, CMT
Massage Therapist · Burbank, CA
NPI number
1669376067
Active
Practice location
175 E Olive Ave Ste 200
Burbank, CA 91502-1821
Mailing address
1333 1/2 N Alexandria Ave
Los Angeles, CA 90027-5801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None 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 1669376067
Edgar Khachaturov, CMT's National Provider Identifier is 1669376067, issued on Oct 7, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Burbank, CA. The record was last updated on Oct 14, 2026.