Organization
FRESNO KINETIC BODYWORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DAVID GREENE CMT (OWNER/THERAPIST)
(559) 492-6848
Entity
Organization
Contact information
Practice address
336 W BEDFORD AVE, SUITE 108, FRESNO, CA 93711-6185
(559) 492-6848
Mailing address
336 W BEDFORD AVE, SUITE 108, FRESNO, CA 93711-6185
(559) 492-6848
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61093
CA
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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