Provider Demographics
NPI:1992136097
Name:MUSCULOTENDON THERAPY
Entity type:Organization
Organization Name:MUSCULOTENDON THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NAEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARIEFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD (AM)
Authorized Official - Phone:818-705-6949
Mailing Address - Street 1:6949 RESEDA BLVD
Mailing Address - Street 2:SUITE 201/ C
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-8537
Mailing Address - Country:US
Mailing Address - Phone:818-705-6949
Mailing Address - Fax:818-705-6949
Practice Address - Street 1:6949 RESEDA BLVD
Practice Address - Street 2:SUITE 201/ C
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-8537
Practice Address - Country:US
Practice Address - Phone:818-705-6949
Practice Address - Fax:818-705-6949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-28
Last Update Date:2013-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47674225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty