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John Allen Kopack
Massage Therapist in Nuevo, California
NPI 1033984968

John Allen Kopack is a Massage Therapist based in Nuevo, CA. John Allen Kopack practices in Nuevo, CA. The NPI Number for John Allen Kopack is 1033984968 and holds a License No. 94662 (California).

The current practice location address for John Allen Kopack is 31288 Electric Ave, Nuevo, CA and can be reached out via phone at 760-216-3216.

Location: 31288 Electric Ave, Nuevo, CA, 92567-9289
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033984968
Provider Name
John Allen Kopack
Credential
Provider Entity Type
Individual
Gender
Male
Address
31288 Electric Ave, Nuevo, CA, 92567-9289
Phone Number
760-216-3216
Fax Number
Provider Enumeration Date
11/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
31288 Electric Ave
City
Nuevo
State
California
Zip
92567-9289
Phone Number
760-216-3216
Fax Number
person
Provider Business Mailing Address Details
Address
31288 Electric Ave
City
Nuevo
State
California
Zip
92567-9289
Phone Number
760-216-3216
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
94662 (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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