Individual
MADELEINE COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1107 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-3303
(805) 900-7154
Mailing address
485 JAMAICA ST, MORRO BAY, CA 93442-1307
(805) 900-7154
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
86222
CA
Other
Enumeration date
11/28/2014
Last updated
01/23/2024
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