Individual
MS. KATIE (KT) MARY FEAMSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
501 S MYRTLE AVE, MONROVIA, CA 91016-2813
(626) 324-1728
Mailing address
501 S MYRTLE AVE, MONROVIA, CA 91016-2813
(626) 324-1728
Taxonomy
Speciality
Code
Description
License number
State
2251E1200X
Ergonomics Physical Therapist
27909
CA
2255A2300X
Athletic Trainer
27909
CA
225600000X
Dance Therapist
27909
CA
225700000X
Massage Therapist
Primary
27909
CA
226300000X
Kinesiotherapist
27909
CA
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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