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Stasha Provitt
Massage Therapist in Pasadena, California
NPI 1629647151

Stasha Provitt is a Massage Therapist based in Pasadena, CA. Stasha Provitt practices in Pasadena, CA. The NPI Number for Stasha Provitt is 1629647151 and holds a License No. (California).

The current practice location address for Stasha Provitt is 277 Pleasant St Unit 109, Pasadena, CA and can be reached out via phone at 213-434-8672.

Location: 277 Pleasant St Unit 109, Pasadena, CA, 91101-3198
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629647151
Provider Name
Stasha Provitt
Credential
Provider Entity Type
Individual
Gender
Female
Address
277 Pleasant St Unit 109, Pasadena, CA, 91101-3198
Phone Number
213-434-8672
Fax Number
Provider Enumeration Date
06/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
277 Pleasant St Unit 109
City
Pasadena
State
California
Zip
91101-3198
Phone Number
213-434-8672
Fax Number
person
Provider Business Mailing Address Details
Address
277 Pleasant St Unit 109
City
Pasadena
State
California
Zip
91101-3198
Phone Number
213-434-8672
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
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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