STEPHEN GILLILAN CMT
NPI 1972253409
Massage Therapist in Carmel Valley, CA
Active since March 27, 2022
About Stephen Gillilan Cmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN GILLILAN CMT (NPI 1972253409) is an individual massage therapist in Carmel Valley, California, licensed in California (61248) and active in the NPI registry since March 2022.
NPPES Registry Identity
NPI1972253409
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameSTEPHEN GILLILANCredential: CMT
Location Address13766 CENTER ST STE 23Carmel Valley, CA 93924-9565
Mailing Address13766 Center St Ste 23Carmel Valley, CA 93924-9565
Phone(831) 512-1188
Sole ProprietorYes
Enumeration DateMarch 27, 2022
NPPES CertifiedMarch 27, 2022
✔ NPI 1972253409 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 · 61248
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.
13766 CENTER ST STE 23, Carmel Valley, CA 93924
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972253409, enumerated as an "individual" on March 27, 2022.
The provider is located at 13766 CENTER ST STE 23 CARMEL VALLEY, CA 93924 and the phone number is (831) 512-1188.
Massage Therapist with taxonomy code 225700000X.
