Inti Wing Chan, CMT
Massage Therapist in Livermore, CA. Individual provider (NPI-1).
NPI number1043762032
StatusActive
Last updated in NPPESOct 26, 2016
Details
- NPI
- 1043762032
- Entity type
- Individual (NPI-1)
- Name
- Mr. Inti Wing Chan
- Credential
- CMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2016
- Last updated
- Oct 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 31284 | CA | Yes |
Practice location
1010 Murrieta BlvdLivermore, CA 94550-4111
Phone 510-289-4079
Mailing address
149 Lipton PlSan Ramon, CA 94583-3422
Phone 510-289-4079
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