Individual
KATHLEEN MCNULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
20289 STEVENS CREEK BLVD # 1069, CUPERTINO, CA 95014-2258
(408) 409-6411
Mailing address
20289 STEVENS CREEK BLVD # 1069, CUPERTINO, CA 95014-2258
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
87162
CA
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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