Doctor Name: | DAVID MURATA |
NPI Number: | 1043588155 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT, BS, NCTMB, MDIV |
License Number: | MSG003978 |
Business Practice Address: | 1207 County Line Rd Lower Level Bryn Mawr, PA - 190102614 |
Business Phone Number: | 6103577283 |
Business Fax Number: | |
Mailing Address: | 213 E. Manoa Rd., Mainline Medical Massage HAVERTOWN |
State: | PA |
Postal Code: | 19083 |
Phone Number: | 6103577283 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2011 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MSG003978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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. |