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

GAVIN MADDOX, MASSAGE THERAPIST

Active Sole Proprietor

GAVIN MADDOX, MASSAGE THERAPIST is a Massage Therapist healthcare provider located in HUNTINGTON BEACH, California. NPI 1417725896 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · HUNTINGTON BEACH, CA

Registration Details

NPI Number
1417725896
Provider Type
Individual
Gender
Male
NPI Issued
Dec 15, 2023 (2.6677344546355 yrs)
Last Updated
Dec 15, 2023
License
57336 (CA)
Sole Proprietor
Yes

Practice Information

Address
17672 BEACH BLVD STE E
HUNTINGTON BEACH, CA, 926476836
Browse CA providers · Browse ZIP 92647
Phone
9095331614
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in HUNTINGTON BEACH, CA

Name Credential NPI
SAMANTHA K GUZMAN L.M.T 1093888422
MS. KRISTJANA DIANNE GRAHAM NCTMB 1740318732
MS. ANNE ROBERTS MASON-ARNOLD LMT 1316065048
KERRI LYNN DEHART LMT 1598987489
DIANE LYNN SORENSEN 1295957199
MRS. ANN WAYMAN L.M.T. 1093954596
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.