Organization
MASSAGE GROTTOSF LLC
Active
Other names
Massage Grotto SF
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN AVERY CMT (OWNER; LICENSED MASSAGE THERAPIST)
(808) 937-4342
Entity
Organization
Contact information
Practice address
4333 CALIFORNIA ST, SAN FRANCISCO, CA 94118-1376
(415) 234-3236
Mailing address
544 CHURCH ST APT 307, SAN FRANCISCO, CA 94114-2052
(808) 937-4342
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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