Provider Demographics
NPI:1902608409
Name:DUNAMIS SPORTS MASSAGE
Entity type:Organization
Organization Name:DUNAMIS SPORTS MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:HIRAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:THERAPIST
Authorized Official - Phone:831-402-5061
Mailing Address - Street 1:258 CARMEL AVE
Mailing Address - Street 2:
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-3052
Mailing Address - Country:US
Mailing Address - Phone:831-402-5061
Mailing Address - Fax:
Practice Address - Street 1:1106 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5464
Practice Address - Country:US
Practice Address - Phone:831-402-5061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty