Doctor Name: | MIKAL MAURICE MYERS |
NPI Number: | 1033454954 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MT |
License Number: | |
Business Practice Address: | 226 W Foothill Blvd Suite E Claremont, CA - 917112764 |
Business Phone Number: | 9097172753 |
Business Fax Number: | |
Mailing Address: | 226 W Foothill Blvd, Suite E CLAREMONT |
State: | CA |
Postal Code: | 917112764 |
Phone Number: | 9097172753 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2012 |
NPI Last Update Date: | 12/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |