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

Gavin Maddox, MASSAGETHERAPIST

Individual provider Massage Therapist · NPI 1417725896

Gavin Maddox, MASSAGETHERAPIST is a Massage Therapist in Huntington Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

17672 Beach Blvd Ste E
Huntington Beach, CA 92647-6836
Phone: (909) 533-1614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 57336 (CA)

Record details

NPI number1417725896
Entity typeIndividual (Type 1)
GenderMale
Credentials MASSAGETHERAPIST
Sole proprietorYes
NPI enumeratedDecember 15, 2023
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023

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