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PHYLLIS DOUGLASS CAMTC# 56843
NPI 1447852017
Massage Therapist in Glendora, CA

Active since November 10, 2020
340 S GLENDORA AVE, GLENDORA, CA 91741(909) 967-0246 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phyllis Douglass Camtc# 56843 NPPES

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

PHYLLIS DOUGLASS CAMTC# 56843 (NPI 1447852017) is an individual massage therapist in Glendora, California, licensed in California (56843) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1447852017
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NamePHYLLIS DOUGLASSCredential: CAMTC# 56843
Location Address340 S GLENDORA AVEGlendora, CA 91741-6255
Mailing Address1901 Canopy LnLa Verne, CA 91750-3514 · (909) 967-0246
Phone(909) 967-0246
Sole ProprietorYes
Enumeration DateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1447852017 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 · 56843
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.
340 S GLENDORA AVE, Glendora, CA 91741
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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.

PRO ACTIVE CHIROPRACTIC
Chiropractor (Sports Physician)
340 S GLENDORA AVE, SUITE #4
GLENDORA, CA 91741
Los Angeles County (626) 335-1007

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 Phyllis Douglass's NPI number?

The NPI number for Phyllis Douglass is 1447852017. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Where is Phyllis Douglass located?

Phyllis Douglass practices at 340 S Glendora Ave, Glendora, CA 91741. The listed phone number is (909) 967-0246.

What is Phyllis Douglass'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 Phyllis Douglass was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.