MR. MARK DIZON CAMTC 89825
NPI 1528786118
Massage Therapist in San Mateo, CA
- Individual
- Male
- Massage Therapist
About MARK DIZON
This page provides the complete NPI Profile along with additional information for Mark Dizon, a provider established in San Mateo, California with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1528786118 assigned on August 2022. The practitioner's primary taxonomy code is 225700000X with license number 89825 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1528786118 Verify this NPI
- Provider Name
- MR. MARK DIZON CAMTC 89825
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 100 S ELLSWORTH AVE STE 804 SAN MATEO, CA 94401
- Location Phone
- (650) 417-3669
- Mailing Address
- 480 E 4TH AVE UNIT 338 SAN MATEO, CA 94401
- Mailing Phone
- (415) 350-8793
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-19-2022
- Last Update Date
- 12-30-2025
- 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.
- 89825
- 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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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528786118, enumerated as an "individual" on August 19, 2022.
The provider is located at 100 S ELLSWORTH AVE STE 804 SAN MATEO, CA 94401 and the phone number is (650) 417-3669.
Massage Therapist with taxonomy code 225700000X.
