| Mack Mccoy, | |
|
2 Wharton Ct, Irvine, CA 92617-4108 | |
| (949) 371-6225 | |
| Not Available |
| Full Name | Mack Mccoy |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 2 Wharton Ct, Irvine, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679248082 | NPI | - | NPPES |
| 74342 | Other | CA | CAMTC CERTIFICATION |
| 1445509 | Other | AMTA MEMBERSHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 74342 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mack Mccoy, 2 Wharton Ct, Irvine, CA 92617-4108 Ph: (949) 371-6225 | Mack Mccoy, 2 Wharton Ct, Irvine, CA 92617-4108 Ph: (949) 371-6225 |
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