Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Glen Fraticelli, CMT

Individual provider Massage Therapist · NPI 1174331474

Dr. Glen Fraticelli, CMT is a Massage Therapist in Travis AFB, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

550 Travis Ave Bldg 434
Travis AFB, CA 94535-2108
Phone: (707) 631-4841
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 98220 (CA)

Record details

NPI number1174331474
Entity typeIndividual (Type 1)
GenderMale
Credentials CMT
Sole proprietorYes
NPI enumeratedDecember 19, 2024
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024