Individual
MR. DAVID ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
817 COFFEE RD, #D, MODESTO, CA 95355-4241
(209) 527-6100
(209) 527-6107
Mailing address
817 COFFEE RD, #D, MODESTO, CA 95355-4241
(209) 527-6100
(209) 527-6107
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11164
CA
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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