Individual
ROBERT MACKOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
667 LYTTON AVE # 2, PALO ALTO, CA 94301-1335
(650) 630-4376
Mailing address
1991 EDGEWOOD DR, PALO ALTO, CA 94303-3106
(650) 630-4376
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
99220
CA
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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