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1639096993 NPI number — TODD MCBAIN MMC, NMT, CMT

NPI Number: 1639096993
Health Care Provider/Practitioner: TODD MCBAIN MMC, NMT, CMT

Information about “1639096993” NPI (TODD MCBAIN MMC, NMT, CMT) exists in 1639096993 in HTML format HTML  |  1639096993 in plain Text format TXT  |  1639096993 in PDF (Portable Document Format) PDF  |  1639096993 in an XML format XML  formats.

NPI Number : 1639096993 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639096993",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCBAIN",
    "FirstName": "TODD",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MMC, NMT, CMT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4738 AIRPORT RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "REDDING",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "96002-9407",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "530-941-1302",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3615 BECHELLI LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "REDDING",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "96002-2429",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "530-941-1302",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/29/2026",
    "LastUpdateDate": "06/29/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225700000X",
        "TaxonomyName": "Massage Therapist",
        "LicenseNumber": "96335",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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