Susan M McMahon
Individual provider Active NPI Massage Therapist · Frazier Park, CA
NPI 1447589684 · NPPES record last updated Dec 17, 2009
Key facts
- NPI
- 1447589684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- PENDING (CA)
- Practice address
- 4116 Alcot Trail
Frazier Park, CA 93225-6775 - Phone
- (661) 338-4805
- NPI assigned
- Dec 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | CA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | PENDING | CA | Yes |
Addresses
Primary practice location
4116 Alcot Trail
Frazier Park, CA 93225-6775
Mailing address
PO Box 1375
Frazier Park, CA 93225-1375
Phone (661) 338-4805
Other providers in Frazier Park, CA
- Janice Hose Keenberg
- Mary Patricia Levis
- Lorin Lindner
- Patricia Lynn Long
- Lorin Lindner, PHD
- Nature Rehab Inc.
- Alice Trujillo Olivas
- Heather M Oman
- Kathleen Johanna Palmer
- Pine Mountain Nursing Health Center
All providers in Frazier Park, CA · Massage Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.