Individual
MR. CLINTON KYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT, PTT
Contact information
Practice address
4547 MURIETTA AVE APT 13, SHERMAN OAKS, CA 91423-2957
(912) 256-1286
Mailing address
4547 MURIETTA AVE APT 13, SHERMAN OAKS, CA 91423-2957
(912) 256-1286
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75650
CA
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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