Organization
SPORTS MEDICINE INSTITUTE INTERNATIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENDRA FADIL (EXECUTIVE DIRECTOR)
(650) 322-2809
Entity
Organization
Contact information
Practice address
260 SHERIDAN AVE STE B40, PALO ALTO, CA 94306-2054
(650) 322-2809
(650) 325-6980
Mailing address
260 SHERIDAN AVE STE B40, PALO ALTO, CA 94306-2054
(650) 322-2809
(650) 325-6980
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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