Organization
SPORTS MASSAGE MARIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN SMITH (GENERAL PARTNER)
(415) 310-0878
Entity
Organization
Contact information
Practice address
645 TAMALPAIS DR, CORTE MADERA, CA 94925-1613
(415) 310-0878
Mailing address
645 TAMALPAIS DR, CORTE MADERA, CA 94925-1613
(415) 310-0878
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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