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

Mr. Charlie Cavallo, LAC

Individual provider Massage Therapist · NPI 1356689285

Mr. Charlie Cavallo, LAC is a Massage Therapist in San Luis Obispo, California. Licensed in California and Oregon. Registered with an NPI since 2013.

Licensed in
CA, OR
In the registry since
2013
Specialties on file
2
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

1325 Chorro St
San Luis Obispo, CA 93401-4005
Phone: (503) 929-6416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 18998 (CA)
Massage Therapist Taxonomy 225700000X · Licence 16249 (OR)

Record details

NPI number1356689285
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorNo
NPI enumeratedJanuary 28, 2013
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025

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