Provider Demographics
NPI:1609640630
Name:SHIANG, MARTIN (CMT)
Entity type:Individual
Prefix:
First Name:MARTIN
Middle Name:
Last Name:SHIANG
Suffix:
Gender:
Credentials:CMT
Other - Prefix:
Other - First Name:MARTIN
Other - Middle Name:MASSAGE
Other - Last Name:THERAPY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DBA
Mailing Address - Street 1:1929 IRVING ST STE 305
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-1763
Mailing Address - Country:US
Mailing Address - Phone:415-505-4488
Mailing Address - Fax:415-566-6677
Practice Address - Street 1:1929 IRVING ST STE 305
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-1763
Practice Address - Country:US
Practice Address - Phone:415-505-4488
Practice Address - Fax:415-566-6677
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032173C00000X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No173C00000XOther Service ProvidersReflexologist