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Mack Mccoy
Massage Therapist in Irvine, California
NPI 1679248082

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. You can also correspond with Mack Mccoy through the mailing address at 2 WHARTON CT, IRVINE, CA - 92617-4108 (mailing address contact number: 949-371-6225).

Location: 2 Wharton Ct, Irvine, CA, 92617-4108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
74342 01 CA CAMTC CERTIFICATION
1445509 01 AMTA MEMBERSHIP
institution
Provider Business Practice Location Address Details
Address
2 Wharton Ct
City
Irvine
State
California
Zip
92617-4108
Phone Number
949-371-6225
Fax Number
person
Provider Business Mailing Address Details
Address
2 Wharton Ct
City
Irvine
State
California
Zip
92617-4108
Phone Number
949-371-6225
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
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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