MR. Justin Formanek, CMT
NPI #1871340638 in Agoura Hills, California
Provider Information
- NPI Number
- 1871340638
- Entity Type
- Individual
- Name
- MR. Justin Formanek, CMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- CMT
- Enumeration Date
- May 1, 2024
- Last Updated
- May 1, 2024
Practice Location
- Address
- 28720 ROADSIDE DR STE 177
- City
- Agoura Hills
- State
- California
- ZIP Code
- 91301-4570
- Phone
- (805) 586-5934
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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