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BRENDEN PETTINGILL
NPI 1104690718
Massage Therapist in San Francisco, CA

Active since November 14, 2023
4200 18TH ST STE 204, SAN FRANCISCO, CA 94114(916) 390-3701 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brenden Pettingill NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDEN PETTINGILL (NPI 1104690718) is an individual massage therapist in San Francisco, California, licensed in California (79706) and active in the NPI registry since November 2023. He maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1104690718
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameBRENDEN PETTINGILL
Location Address4200 18TH ST STE 204San Francisco, CA 94114-2449
Mailing Address1718 14th StOakland, CA 94607-1514
Phone(916) 390-3701
Sole ProprietorYes
Enumeration DateNovember 14, 2023
NPPES CertifiedNovember 13, 2023
✔ NPI 1104690718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CA · 79706
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.
4200 18TH ST STE 204, San Francisco, CA 94114
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Secondary Practice Location 1

Location 11718 14th StOakland, CA 94607-1514 · Phone (916) 390-3701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID CLARK CMT
Massage Therapist
4200 18TH ST STE 204
SAN FRANCISCO, CA 94114
San Francisco County (415) 948-6464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenden Pettingill's NPI number?

The NPI number for Brenden Pettingill is 1104690718. It was assigned to this individual provider in the NPPES registry on November 14, 2023.

Where is Brenden Pettingill located?

Brenden Pettingill practices at 4200 18th St Ste 204, San Francisco, CA 94114. The listed phone number is (916) 390-3701.

What is Brenden Pettingill's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Brenden Pettingill was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.