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Ivan Wong, LMT
Massage Therapist in South Pasadena, California
NPI 1003404633

Ivan Wong is a Massage Therapist based in South Pasadena, CA. Ivan Wong practices in South Pasadena, CA and has the professional credentials of LMT. The NPI Number for Ivan Wong is 1003404633 and holds a License No. MST-000417 (California).

The current practice location address for Ivan Wong is 2000 Via Del Rey, South Pasadena, CA and can be reached out via phone at 310-866-6203.

Location: 2000 Via Del Rey, South Pasadena, CA, 91030-4146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003404633
Provider Name
Ivan Wong
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
2000 Via Del Rey, South Pasadena, CA, 91030-4146
Phone Number
310-866-6203
Fax Number
Provider Enumeration Date
01/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2000 Via Del Rey
City
South Pasadena
State
California
Zip
91030-4146
Phone Number
310-866-6203
Fax Number
person
Provider Business Mailing Address Details
Address
2000 Via Del Rey
City
South Pasadena
State
California
Zip
91030-4146
Phone Number
310-866-6203
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MST-000417 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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