DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. AUDREY MAVIS GOODBAR, MASSAGE THERAPIST

Active Sole Proprietor

MS. AUDREY MAVIS GOODBAR, MASSAGE THERAPIST is a Massage Therapist healthcare provider located in LOS ANGELES, California. NPI 1417226762 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · LOS ANGELES, CA

Registration Details

NPI Number
1417226762
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2011 (14.520395426461 yrs)
Last Updated
Jan 30, 2012
Licenses
29412 (CA)
29412 (CA)
Sole Proprietor
Yes

Practice Information

Address
2352 PARNELL AVE
LOS ANGELES, CA, 900642202
Browse CA providers · Browse ZIP 90064
Phone
3109950036
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Reflexologist

Other Massage Therapist Providers in LOS ANGELES, CA

Name Credential NPI
HEATHER DEANNA MILLS CMT 1568617744
ELIZABETH ESPANA 1831493980
DANIELLE KATZ CMT 1043516917
CHRISTINE M KNAPP LMT 1831453281
JILL DAVENPORT CMP 1780936633
MARCIA PINTO 1427396225
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.