Provider Demographics
NPI:1861838096
Name:SENSENDERFER, MERLEN TAFFER (CMT)
Entity Type:Individual
Prefix:MR
First Name:MERLEN
Middle Name:TAFFER
Last Name:SENSENDERFER
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:MR
Other - First Name:CRISTIANO
Other - Middle Name:MICAL
Other - Last Name:TOFERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CMT
Mailing Address - Street 1:2120 MARKET ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1376
Mailing Address - Country:US
Mailing Address - Phone:510-213-1247
Mailing Address - Fax:
Practice Address - Street 1:2120 MARKET ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1376
Practice Address - Country:US
Practice Address - Phone:510-213-1247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist