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SAMUEL MARTINEZ
>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1881197937
Individual Registrant: SAMUEL MARTINEZ
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1554 WABASH RD ALVISO, CA 95002-9500 US
Tel: 408-477-4675 Fax: --
Tel: 408-477-4675 Fax: --
Contact information for business:
PO BOX 985 ALVISO, CA 95002-0985 US
Tel: 408-477-4675 Fax: --
Tel: 408-477-4675 Fax: --
Registration Information:
NPI: 1881197937
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist | CA | 72912 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
