Most Relevant Information
Provider Data
| NPI Number: | 1003456567 |
| Provider Name: | MASAKO MICHISHITA |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 3043 |
Most Important Dates
| Enumeration Date: | 01/13/2020 |
| Last Updated: | 01/13/2020 |
Provider Practice Location
16008 S WESTERN AVE STE A
GARDENA
CA
902473785
Practice Location Phone/Fax
| Phone: | 3105389010 |
| Fax: |
Provider Mailing Location
16008 S WESTERN AVE STE A
GARDENA
CA
902473785
Provider Mailing Phone/Fax
| Phone: | 3105389010 |
| Fax: |