Provider Demographics
NPI:1548975469
Name:SANTO, KATHLEEN (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:
Last Name:SANTO
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5530 ACKERFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-4955
Mailing Address - Country:US
Mailing Address - Phone:310-337-8828
Mailing Address - Fax:
Practice Address - Street 1:5530 ACKERFIELD AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-4955
Practice Address - Country:US
Practice Address - Phone:916-949-6981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-16
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33112225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist