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Petcharin Mathison
Massage Therapist in Simi Valley, California
NPI 1184056699

Petcharin Mathison is a Massage Therapist based in Simi Valley, CA. Petcharin Mathison practices in Simi Valley, CA. The NPI Number for Petcharin Mathison is 1184056699 and holds a License No. 45575 (California).

The current practice location address for Petcharin Mathison is 5956 E Los Angeles Ave Ste 4, Simi Valley, CA and can be reached out via phone at 805-522-5552.

Location: 5956 E Los Angeles Ave Ste 4, Simi Valley, CA, 93063-4369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184056699
Provider Name
Petcharin Mathison
Credential
Provider Entity Type
Individual
Gender
Female
Address
5956 E Los Angeles Ave Ste 4, Simi Valley, CA, 93063-4369
Phone Number
805-522-5552
Fax Number
Provider Enumeration Date
08/07/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45575 01 CA MASSAGE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
5956 E Los Angeles Ave Ste 4
City
Simi Valley
State
California
Zip
93063-4369
Phone Number
805-522-5552
Fax Number
person
Provider Business Mailing Address Details
Address
5956 E Los Angeles Ave Ste 4
City
Simi Valley
State
California
Zip
93063-4369
Phone Number
805-522-5552
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
45575 (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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