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NPI Code Detail

MEDICARE: ADAM MARSHALL

MEDICARE: ADAM MARSHALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist91698CA

General Provider Information

NPI Number : 1215653043
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM MARSHALL
Provider Business Mailing Address
First Line : 1640 E MENLO AVE
Second Line :
City : FRESNO
State : CA
Zip : 93710-4306
Country : US
Telephone Number : 559-994-6519
Fax Number :
Provider Business Practice Location Address
First Line : 1640 E MENLO AVE
Second Line :
City : FRESNO
State : CA
Zip : 93710-4306
Country : US
Telephone Number : 559-994-6519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2022
Last Update Date : 10/13/2022

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Directions to “ ADAM MARSHALL ” Practice Location

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