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

Gregory Mactavish

Individual provider Massage Therapist · NPI 1336955665

Gregory Mactavish is a Massage Therapist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 462125
Los Angeles, CA 90046-8125
Phone: (310) 801-5150
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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 185 (CA)

Record details

NPI number1336955665
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 11, 2024
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024

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