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Organization

NEUROMUSCULAR TRANSFORMATIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS YOUNG MMT (OWNER)
(760) 401-7968
Entity
Organization

Contact information

Practice address
4833 SANTA MONICA AVE UNIT 7840, SAN DIEGO, CA 92107-2810
(760) 401-7968
Mailing address
4833 SANTA MONICA AVE UNIT 7840, SAN DIEGO, CA 92107-2810

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
282J00000X
Religious Nonmedical Health Care Institution

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
72368
MEDICAL MASSAGE CERT
CA
Enumeration date
06/06/2021
Last updated
06/06/2021
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