Stasha Provitt
Stasha Provitt is a Massage Therapist in Pasadena, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
277 Pleasant St Unit 109Pasadena, CA 91101-3198
Phone: (213) 434-8672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X |
|---|
Record details
| NPI number | 1629647151 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 19, 2021 |
| Last updated in NPPES | June 19, 2021 |
| Certification date | June 19, 2021 |
| Mailing address | 277 Pleasant St Unit 109, Pasadena, CA 91101-3198 |
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