Individual
TRAVIS WRIGHT RUNNELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1657 SIERRA ST, REDWOOD CITY, CA 94061-2713
(650) 888-5075
Mailing address
1657 SIERRA ST, REDWOOD CITY, CA 94061-2713
(650) 888-5075
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10456
CA
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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