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MR. JUSTIN FORMANEK CMT
NPI 1871340638
Massage Therapist in Agoura Hills, CA

Active since May 01, 2024
28720 ROADSIDE DR STE 177, AGOURA HILLS, CA 91301(805) 586-5934 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Justin Formanek Cmt NPPES

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

MR. JUSTIN FORMANEK CMT (NPI 1871340638) is an individual massage therapist in Agoura Hills, California, licensed in California (89452) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1871340638
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. JUSTIN FORMANEKCredential: CMT
Location Address28720 ROADSIDE DR STE 177Agoura Hills, CA 91301-4570
Mailing Address805 Calle CanonCamarillo, CA 93012-7165 · (805) 586-5934
Phone(805) 586-5934
Sole ProprietorYes
Enumeration DateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1871340638 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 · 89452
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.
28720 ROADSIDE DR STE 177, Agoura Hills, CA 91301
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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.

PRESENT MIND PMCC
Counselor (Mental Health)
28720 ROADSIDE DR STE 177
AGOURA HILLS, CA 91301
Los Angeles County (310) 272-9694

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 Justin Formanek's NPI number?

The NPI number for Justin Formanek is 1871340638. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Where is Justin Formanek located?

Justin Formanek practices at 28720 Roadside Dr Ste 177, Agoura Hills, CA 91301. The listed phone number is (805) 586-5934.

What is Justin Formanek'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 Justin Formanek was last updated on May 1, 2024. 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.