Provider Demographics
NPI:1518657592
Name:LEVY, ROBIN LEAH (MASSAGE THERAPISTCMT)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:LEAH
Last Name:LEVY
Suffix:
Gender:F
Credentials:MASSAGE THERAPISTCMT
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:LEAH
Other - Last Name:LEVY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FRANZBLAU
Mailing Address - Street 1:1761 CALYPSO DR
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-5806
Mailing Address - Country:US
Mailing Address - Phone:669-200-9667
Mailing Address - Fax:
Practice Address - Street 1:1761 CALYPSO DR
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-5806
Practice Address - Country:US
Practice Address - Phone:669-200-9667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90331225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist