Patrick Chung, CMT
Massage Therapist in Winnetka, CA. Individual provider (NPI-1).
NPI number1366067571
StatusActive
Last updated in NPPESJun 12, 2020
Details
- NPI
- 1366067571
- Entity type
- Individual (NPI-1)
- Name
- Patrick Chung
- Credential
- CMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 12, 2020
- Certification date
- Jun 12, 2020
- Last updated
- Jun 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 76910 | CA | Yes |
Practice location
19853 Welby WayWinnetka, CA 91306-4340
Phone 818-964-5764
Mailing address
19853 Welby WayWinnetka, CA 91306-4340
Phone 818-964-5764
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All 7 Massage Therapist providers in Winnetka · All 369 providers in Winnetka
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