Individual
MR. TAYLOR MICHAEL HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT, MMP
Contact information
Practice address
9578 MURRAY DR, LA MESA, CA 91942-3924
(619) 460-6091
Mailing address
7109 1/2 AMHERST ST, LA MESA, CA 91942-8530
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75446
CA
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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