Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY MACTAVISH
Active Sole ProprietorGREGORY MACTAVISH is a Massage Therapist healthcare provider located in LOS ANGELES, California. NPI 1336955665 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · LOS ANGELES, CA
Registration Details
- NPI Number
- 1336955665
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2024 (1.6633254244778 yrs)
- Last Updated
- Dec 27, 2024
- License
-
185 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
PO BOX 462125LOS ANGELES, CA, 900468125Browse CA providers · Browse ZIP 90046
- Phone
- 3108015150
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| HEATHER DEANNA MILLS | CMT | 1568617744 |
| ELIZABETH ESPANA | — | 1831493980 |
| DANIELLE KATZ | CMT | 1043516917 |
| MS. AUDREY MAVIS GOODBAR | MASSAGE THERAPIST | 1417226762 |
| CHRISTINE M KNAPP | LMT | 1831453281 |
| JILL DAVENPORT | CMP | 1780936633 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.