Individual
KYLE ALLEN MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1958 VIA CTR, VISTA, CA 92081-6056
(760) 477-1350
Mailing address
2051 GENEVA ST APT 59, OCEANSIDE, CA 92054-6331
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
78270
CA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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