# VIVA PHYSICAL THERAPY & WELLNESS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902702335
- **Authorized official:** AISLING MCMAHON DPT (OWNER)
- **Authorized official phone:** (415) 319-2063

## Contact information

- **Practice address:** 365 LAS COLINDAS RD, SAN RAFAEL, CA 94903-2407
- **Practice address phone:** (415) 319-0263
- **Mailing address:** 365 LAS COLINDAS RD, SAN RAFAEL, CA 94903-2407
- **Mailing address phone:** (415) 319-0263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |

## Other

- **Enumeration date:** 10/14/2026
- **Last updated:** 10/14/2026