Individual
MICHAEL CALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12150 MCKINLEY AVE, LOS ANGELES, CA 90059-2740
(323) 632-1455
Mailing address
12150 MCKINLEY AVE, LOS ANGELES, CA 90059-2740
(323) 632-1455
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
65397
CA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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