NPI 1154568590

Thorsten Grambow, LMTCMT

Practitioner Massage Therapist Walnut Creek, CA

Practice location

Address: 1200 Mt Diablo Blvd Suite # 103, Walnut Creek, CA 94596-4852
Phone: (207) 649-3088
Mailing address: 2015 Olympic Blvd, Walnut Creek, CA 94595-1621

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 39084 (CA)

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Registry record

NPI: 1154568590
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jan 2009
Record last updated: 11 Dec 2012

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.