Individual
PAUL WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ROLFER, LMT
Contact information
Practice address
16 N MARENGO AVE SUITE 418, LOS ANGELES, CA 91101
(213) 378-3623
Mailing address
16 N MARENGO AVE SUITE 418, LOS ANGELES, CA 91101
(213) 378-3623
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
81338
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401155-00
NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK
—
01
—
81338
CAMTC
CA
Enumeration date
04/25/2013
Last updated
04/29/2025
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