Mr. Justin Formanek, CMT
Mr. Justin Formanek, CMT is a Massage Therapist in Agoura Hills, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
28720 Roadside Dr Ste 177Agoura Hills, CA 91301-4570
Phone: (805) 586-5934
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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 89452 (CA) |
|---|
Record details
| NPI number | 1871340638 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CMT |
| Sole proprietor | Yes |
| NPI enumerated | May 1, 2024 |
| Last updated in NPPES | May 1, 2024 |
| Certification date | May 1, 2024 |
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