Individual
MARTIN KEITH MATZINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT, VCST
Contact information
Practice address
16838 ADDISON ST, ENCINO, CA 91436-1054
(310) 357-5599
Mailing address
PO BOX 66532, LOS ANGELES, CA 90066-0532
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
68362
CA
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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