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GAVIN MADDOX MASSAGE THERAPIST
NPI 1417725896
Massage Therapist in Huntington Beach, CA

Active since December 15, 2023
17672 BEACH BLVD STE E, HUNTINGTON BEACH, CA 92647(909) 533-1614 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gavin Maddox Massage Therapist NPPES

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

GAVIN MADDOX MASSAGE THERAPIST (NPI 1417725896) is an individual massage therapist in Huntington Beach, California, licensed in California (57336) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1417725896
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameGAVIN MADDOXCredential: MASSAGE THERAPIST
Location Address17672 BEACH BLVD STE EHuntington Beach, CA 92647-6836
Mailing Address2230 Rosalia DrFullerton, CA 92835-2256 · (909) 533-1614
Phone(909) 533-1614
Sole ProprietorYes
Enumeration DateDecember 15, 2023
NPPES CertifiedDecember 15, 2023
✔ NPI 1417725896 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 · 57336
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.
17672 BEACH BLVD STE E, Huntington Beach, CA 92647
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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. PETER NAZARETH SADORIAN L.AC.
Acupuncturist
17672 BEACH BLVD STE E
HUNTINGTON BEACH, CA 92647
Orange County (323) 236-5553

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 Gavin Maddox's NPI number?

The NPI number for Gavin Maddox is 1417725896. It was assigned to this individual provider in the NPPES registry on December 15, 2023.

Where is Gavin Maddox located?

Gavin Maddox practices at 17672 Beach Blvd Ste E, Huntington Beach, CA 92647. The listed phone number is (909) 533-1614.

What is Gavin Maddox'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 Gavin Maddox was last updated on December 15, 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.