NPI 1003448614

Sports Medicine Institute International

Organisation Massage Therapist Palo Alto, CA

Practice location

Address: 260 Sheridan Ave STE B40, Palo Alto, CA 94306-2054
Phone: (650) 322-2809
Fax: (650) 325-6980

Authorised official

Name: Kendra Fadil
Title: Executive Director
Phone: (650) 322-2809

Registered specialties (2)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Acupuncturist

Other Service Providers Taxonomy 171100000X

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Registry record

NPI: 1003448614
Entity type: Organization
NPI issued: 11 Feb 2020
Record last updated: 11 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.