Healthcare Provider Details

I. General information

NPI: 1780543173
Provider Name (Legal Business Name): DAVID LIAO CMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

168 SANCHEZ ST
SAN FRANCISCO CA
94114-1323
US

IV. Provider business mailing address

588 MISSION BAY BLVD N APT 305
SAN FRANCISCO CA
94158-2481
US

V. Phone/Fax

Practice location:
  • Phone: 415-426-7874
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number80584
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: