MEDICARE: KATHRYN ASANDA PAVLACKA CMT

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	61814	CA

General Provider Information

NPI Number	:	1831812023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN ASANDA PAVLACKA CMT

Provider Business Mailing Address
First Line	:	1640 BUSH ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-5308
Country	:	US
Telephone Number	:	510-507-1656
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 BUSH ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-5308
Country	:	US
Telephone Number	:	510-507-1656
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2022
Last Update Date	:	09/22/2022

Similar Medicare Providers

1912265463 — CECILIA WONG LEUNG L.AC.
Practice Location Address:

1640 BUSH ST
SAN FRANCISCO, CA
94109-5308

Practice Phone: 415-271-6954
Practice Fax:

1063431435 — DR. WILLIAM VERNON LEE PH.D.
Practice Location Address:

582 MARKET ST , STE 711
SAN FRANCISCO, CA
94104-5308

Practice Phone: 415-771-1967
Practice Fax: 417-771-1053

1881865194 — DR. VITTORIO COMELLI PSYD
Practice Location Address:

582 MARKET ST STE 714
SAN FRANCISCO, CA
94104-5308

Practice Phone: 415-919-9803
Practice Fax:

1043605397 — DR. SHAHNAZ MIRI M.D.
Practice Location Address:

582 MARKET ST STE 717
SAN FRANCISCO, CA
94104-5308

Practice Phone: 415-800-4178
Practice Fax: 415-800-4942

1346621901 — KAREN LIN TSAI LCSW
Practice Location Address:

582 MARKET ST STE 716
SAN FRANCISCO, CA
94104-5308

Practice Phone: 650-741-0950
Practice Fax:

1730896028 — VISION NEUROLOGY INC.
Practice Location Address:

582 MARKET ST STE 717
SAN FRANCISCO, CA
94104-5308

Practice Phone: 415-800-4178
Practice Fax: 415-800-4942

Directions to “ KATHRYN ASANDA PAVLACKA CMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.