Individual
TRAVA PETER FAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
838 MAIN ST STE 2, REDWOOD CITY, CA 94063-1902
(707) 228-9736
Mailing address
1441 BEACH PARK BLVD APT 111, FOSTER CITY, CA 94404-1966
(707) 228-9736
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72927
CA
Other
Enumeration date
11/09/2019
Last updated
11/09/2019
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