Individual
MR. MICHAEL LEE SPACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NMT, CMT
Contact information
Practice address
3112 O ST, SUITE #1, SACRAMENTO, CA 95816-6542
(916) 281-4284
Mailing address
3112 O ST, SUITE #1, SACRAMENTO, CA 95816-6542
(916) 281-4284
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CA
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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