Individual
JOSHUA SHIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LMT, CMT, EP-C.
Contact information
Practice address
1222 ATLANTIC AVE, LONG BEACH, CA 90813-3315
(314) 706-1579
Mailing address
1222 ATLANTIC AVE, LONG BEACH, CA 90813-3315
(314) 706-1579
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
1070508
CA
225700000X
Massage Therapist
77199
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15134787
—
MO
Enumeration date
02/24/2021
Last updated
05/27/2025
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