Dr Glen Fraticelli, CMT is a
Massage Therapist based in Travis Afb, California. Dr Glen Fraticelli is licensed to practice in California (license number 98220) and his current practice location is
550 Travis Ave Bldg 434, Travis Afb, California. He can be reached at his office (for appointments etc.) via phone at
(707) 631-4841.
NPI number for Dr Glen Fraticelli is 1174331474 and his current mailing address is 2643 Seminole Cir, Fairfield, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174331474.
Healthcare Provider's Profile
| Full Name | Dr Glen Fraticelli |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 550 Travis Ave Bldg 434, Travis Afb, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174331474
- Provider Enumeration Date: 12/19/2024
- Last Update Date: 12/19/2024
Medical Identifiers
Medical identifiers for Dr Glen Fraticelli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174331474 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | 98220 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Glen Fraticelli is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Glen Fraticelli, CMT 2643 Seminole Cir, Fairfield, CA 94534-7872 Ph: (707) 631-4841 | Dr Glen Fraticelli, CMT 550 Travis Ave Bldg 434, Travis Afb, CA 94535-2108 Ph: (707) 631-4841 |
Reviews and Comments