MEDICARE: DOLPHIN PARTNERS GROUP INC

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
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1356166672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOLPHIN PARTNERS GROUP INC

Provider Business Mailing Address
First Line	:	804 CYPRESS RUN
Second Line	:
City	:	WOODBRIDGE
State	:	CA
Zip	:	95258
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3605 FREEPORT BLVD SUITE E
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95818
Country	:	US
Telephone Number	:	917-288-7477
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	OLYMPIA HOSTLER
Credential	:	CMT
Telephone Number	:	917-288-7477

Provider Enumeration Date	:	11/21/2024
Last Update Date	:	11/21/2024

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Directions to “DOLPHIN PARTNERS GROUP INC ” Practice Location

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