Organization
KNOW KNOTS MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL JEAGER WORTHINGTON III C.M.T (OWNER)
(951) 581-3242
Entity
Organization
Contact information
Practice address
8052 LIMONITE AVE, STE 104, RIVERSIDE, CA 92509-6124
(951) 581-3242
(951) 213-6761
Mailing address
52 ROUND TABLE DR, RIVERSIDE, CA 92507-6998
(951) 581-3242
(951) 213-6761
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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