MR. KYLE MICHAEL MATHER
NPI 1295099844
Massage Therapist in Emeryville, CA
- Individual
- Male
- Massage Therapist
About KYLE MATHER
This page provides the complete NPI Profile along with additional information for Kyle Mather, a provider established in Emeryville, California with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1295099844 assigned on June 2012. The practitioner's primary taxonomy code is 225700000X with license number 15731 (CA). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1295099844 Verify this NPI
- Provider Name
- MR. KYLE MICHAEL MATHER
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6001 SHELLMOUND ST STE 115 EMERYVILLE, CA 94608
- Location Phone
- (510) 653-5200
- Mailing Address
- 313 S NAVARRA DR SCOTTS VALLEY, CA 95066
- Mailing Phone
- (831) 818-7476
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-28-2012
- Last Update Date
- 06-28-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 15731
- License State
- CA
- Taxonomy Description
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295099844, enumerated as an "individual" on June 28, 2012.
The provider is located at 6001 SHELLMOUND ST STE 115 EMERYVILLE, CA 94608 and the phone number is (510) 653-5200.
Massage Therapist with taxonomy code 225700000X.
