Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUSTIN FORMANEK, CMT
Active Sole ProprietorMR. JUSTIN FORMANEK, CMT is a Massage Therapist healthcare provider located in AGOURA HILLS, California. NPI 1871340638 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · AGOURA HILLS, CA
Registration Details
- NPI Number
- 1871340638
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2024 (2.3309022080746 yrs)
- Last Updated
- May 1, 2024
- License
-
89452 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
28720 ROADSIDE DR STE 177AGOURA HILLS, CA, 913014570Browse CA providers · Browse ZIP 91301
- Phone
- 8055865934
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in AGOURA HILLS, CA
| Name | Credential | NPI |
|---|---|---|
| CAROL MCMANUS | — | 1770973588 |
| ANNE MARIE SHERMAN | CMT, NMT | 1942811872 |
| MR. MAXWELL GLASER | LMT, CSCS | 1033892831 |
| DIANNA WOOLSTON MARCELLO | CERTIFIED THERAPIST | 1245037126 |
| MICHELLE ROZZEN | LMT | 1407650922 |
| JUDITH CUEVAS | — | 1831049873 |
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.