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Stephan Utsumi
Massage Therapist in San Carlos, California
NPI 1619655768

Stephan Utsumi is a Massage Therapist based in San Carlos, CA. Stephan Utsumi practices in San Carlos, CA. The NPI Number for Stephan Utsumi is 1619655768 and holds a License No. 68768 (California).

The current practice location address for Stephan Utsumi is 1785 San Carlos Ave Ste 6, San Carlos, CA and can be reached out via phone at 650-241-4534.

Location: 1785 San Carlos Ave Ste 6, San Carlos, CA, 94070-2026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619655768
Provider Name
Stephan Utsumi
Credential
Provider Entity Type
Individual
Gender
Male
Address
1785 San Carlos Ave Ste 6, San Carlos, CA, 94070-2026
Phone Number
650-241-4534
Fax Number
Provider Enumeration Date
07/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1785 San Carlos Ave Ste 6
City
San Carlos
State
California
Zip
94070-2026
Phone Number
650-241-4534
Fax Number
person
Provider Business Mailing Address Details
Address
1785 San Carlos Ave Ste 6
City
San Carlos
State
California
Zip
94070-2026
Phone Number
650-241-4534
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
68768 (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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