Individual
MARK FADIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMP
Contact information
Practice address
260 SHERIDAN AVE STE B40, PALO ALTO, CA 94306-2054
(650) 823-1091
Mailing address
2005 PARK BLVD, PALO ALTO, CA 94306-1143
(650) 823-1091
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29031
CA
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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