Mr. Mark Edward Vennerholm II, CMT - Vista, CA

Mr. Mark Edward Vennerholm II, CMT

Massage Therapist in Vista, California

NPI 1053012443

Mark Edward Vennerholm II is a Massage Therapist based in Coronado, CA. Mark Edward Vennerholm II practices in Vista, CA and has the professional credentials of CMT. The NPI Number for Mark Edward Vennerholm II is 1053012443 and holds a License No. 93040 (California).

The current practice location address for Mark Edward Vennerholm II is 2305 S Melrose Dr Ste 103, Vista, CA and can be reached out via phone at 760-230-3898.

Location: 2305 S Melrose Dr Ste 103, Vista, CA, 92118-1998

NPI Number

1053012443

Provider Name

Mark Edward Vennerholm II

Credential

CMT

Provider Entity Type

Individual

Gender

Male

Address

2305 S Melrose Dr Ste 103, Vista, CA, 92118-1998

Phone Number

760-230-3898

Fax Number

Provider Enumeration Date

03/13/2023

Last Update Date

03/10/2024

Address

2305 S Melrose Dr Ste 103

City

Vista

State

California

Zip

92081-8789

Phone Number

760-230-3898

Fax Number

Address

2305 S Melrose Dr Ste 103

City

Vista

State

California

Zip

92081-8789

Phone Number

760-230-3898

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

93040 (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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