Individual
DARRAN MICHASL RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
826 N WINCHESTER BLVD, SAN JOSE, CA 95128-1313
(408) 297-0332
(408) 608-1500
Mailing address
826 N WINCHESTER BLVD, SUITE 1, SAN JOSE, CA 95128-1313
(408) 297-0332
(408) 608-1500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
49565
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
CMT
—
Enumeration date
09/30/2015
Last updated
09/30/2015
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