Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Phyllis Douglass, CAMTC56843

Individual provider Massage Therapist · NPI 1447852017

Phyllis Douglass, CAMTC56843 is a Massage Therapist in Glendora, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

340 S Glendora Ave
Glendora, CA 91741-6255
Phone: (909) 967-0246
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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 56843 (CA)

Record details

NPI number1447852017
Entity typeIndividual (Type 1)
GenderFemale
Credentials CAMTC56843
Sole proprietorYes
NPI enumeratedNovember 10, 2020
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020

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