Individual provider · Type 1 NPI
Mallory Martin
Massage Therapist · Coalinga, CA
NPI number
1912866401
Active
Practice location
193 Washington St
Coalinga, CA 93210-1643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 96063 (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.
About NPI 1912866401
Mallory Martin's National Provider Identifier is 1912866401, issued on Jan 20, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Coalinga, CA. The record was last updated on Jan 20, 2026.