Provider Demographics
NPI:1033820253
Name:FRANCIS, ALICE MARIE (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:MARIE
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 W OLIVE AVE STE D
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-2603
Mailing Address - Country:US
Mailing Address - Phone:310-721-6869
Mailing Address - Fax:
Practice Address - Street 1:2321 W OLIVE AVE STE D
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-2603
Practice Address - Country:US
Practice Address - Phone:310-721-6869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist