Healthcare Provider Details

I. General information

NPI: 1871497941
Provider Name (Legal Business Name): KATERYNA PRYLIUK
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 23RD ST
SAN FRANCISCO CA
94114-3302
US

IV. Provider business mailing address

232 27TH ST
SAN FRANCISCO CA
94131-2010
US

V. Phone/Fax

Practice location:
  • Phone: 415-585-1990
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: