Provider Demographics
NPI:1598580284
Name:VIVAS, FRANKIE (CMT)
Entity type:Individual
Prefix:MR
First Name:FRANKIE
Middle Name:
Last Name:VIVAS
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 CLIFF AVE
Mailing Address - Street 2:
Mailing Address - City:MC FARLAND
Mailing Address - State:CA
Mailing Address - Zip Code:93250-1608
Mailing Address - Country:US
Mailing Address - Phone:661-375-2361
Mailing Address - Fax:
Practice Address - Street 1:316 CLIFF AVE
Practice Address - Street 2:
Practice Address - City:MC FARLAND
Practice Address - State:CA
Practice Address - Zip Code:93250-1608
Practice Address - Country:US
Practice Address - Phone:661-375-2361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist