Mack Mccoy is a Massage Therapist based in Irvine, CA. Mack Mccoy practices in Irvine, CA. The NPI Number for Mack Mccoy is 1679248082 and holds a License No. 74342 (California).
The current practice location address for Mack Mccoy is 2 Wharton Ct, Irvine, CA and can be reached out via phone at 949-371-6225.
Location: 2 Wharton Ct, Irvine, CA, 92617-4108
Provider Profile Details
NPI Number
1679248082
Provider Name
Mack Mccoy
Credential
Provider Entity Type
Individual
Gender
Male
Address
2 Wharton Ct, Irvine, CA, 92617-4108
Phone Number
949-371-6225
Fax Number
Provider Enumeration Date
08/09/2021
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74342 | 01 | CA | CAMTC CERTIFICATION |
| 1445509 | 01 | AMTA MEMBERSHIP |
Provider Business Practice Location Address Details
Address
2 Wharton Ct
City
State
Zip
92617-4108
Phone Number
949-371-6225
Fax Number
Provider Business Mailing Address Details
Address
2 Wharton Ct
City
State
Zip
92617-4108
Phone Number
949-371-6225
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
74342 (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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