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DR. GLEN FRATICELLI CMT
NPI 1174331474
Massage Therapist in Travis Afb, CA

Active since December 19, 2024
550 TRAVIS AVE BLDG 434, TRAVIS AFB, CA 94535(707) 631-4841 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Glen Fraticelli Cmt NPPES

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

DR. GLEN FRATICELLI CMT (NPI 1174331474) is an individual massage therapist in Travis Afb, California, licensed in California (98220) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1174331474
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameDR. GLEN FRATICELLICredential: CMT
Location Address550 TRAVIS AVE BLDG 434Travis Afb, CA 94535-2108
Mailing Address2643 Seminole CirFairfield, CA 94534-7872 · (707) 631-4841
Phone(707) 631-4841
Sole ProprietorYes
Enumeration DateDecember 19, 2024
NPPES CertifiedDecember 19, 2024
✔ NPI 1174331474 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 · 98220
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.

550 TRAVIS AVE BLDG 434, Travis Afb, CA 94535
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Glen Fraticelli's NPI number?

The NPI number for Glen Fraticelli is 1174331474. It was assigned to this individual provider in the NPPES registry on December 19, 2024.

Where is Glen Fraticelli located?

Glen Fraticelli practices at 550 Travis Ave Bldg 434, Travis Afb, CA 94535. The listed phone number is (707) 631-4841.

What is Glen Fraticelli'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 Glen Fraticelli was last updated on December 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.