Jonathan Haggart
Massage Therapist in West Hollywood, CA. Individual provider (NPI-1).
NPI number1467167684
StatusActive
Last updated in NPPESJan 23, 2023
Details
- NPI
- 1467167684
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Haggart
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2023
- Certification date
- Jan 22, 2023
- Last updated
- Jan 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 25675 | CA | Yes |
Practice location
8730 Santa Monica BlvdWest Hollywood, CA 90069-4547
Phone 310-652-3200
Mailing address
1010 E 7th St Apt 5Long Beach, CA 90813-4865
Phone 310-435-1849
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