Individual provider · Type 1 NPI

Kimyata Goodall, CMT

Massage Therapist · Antioch, CA

NPI number 1689511511 Active

Practice location

3915 Delta Fair Blvd Apt B31
Antioch, CA 94509-4063

Call (510) 688-9412 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X47838 (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 1689511511

Kimyata Goodall, CMT's National Provider Identifier is 1689511511, issued on Apr 29, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Antioch, CA. The record was last updated on Apr 29, 2026.