Organization
VIBRANTHEALTHCONSULTANTSLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHIAS F.C. PUTZ MT, CMT (OWNER)
(415) 721-7726
Entity
Organization
Contact information
Practice address
655 REDWOOD HWY FRONTAGE RD, SUITE 160, MILL VALLEY, CA 94941-3034
(415) 721-7726
(415) 721-7726
Mailing address
740 POINT SAN PEDRO RD, SAN RAFAEL, CA 94901-2533
(415) 721-7726
(415) 721-7726
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
172M00000X
Mechanotherapist
Primary
—
—
174400000X
Specialist
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
01/08/2009
Last updated
09/26/2014
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