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

Mr. Bruce Kazufusa Shibao, CMT, GCFP

Individual provider Massage Therapist · NPI 1518549914

Mr. Bruce Kazufusa Shibao, CMT, GCFP is a Massage Therapist in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

544 Laidley St
San Francisco, CA 94131-3040
Phone: (415) 269-4579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X (CA)

Record details

NPI number1518549914
Entity typeIndividual (Type 1)
GenderMale
Credentials CMT , GCFP
Sole proprietorYes
NPI enumeratedApril 25, 2021
Last updated in NPPESApril 25, 2021
Certification dateApril 25, 2021

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