Provider Demographics
NPI:1730370537
Name:VERMEL, RUNN (CMT)
Entity type:Individual
Prefix:
First Name:RUNN
Middle Name:
Last Name:VERMEL
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 E 8TH ST
Mailing Address - Street 2:STE 107
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-2820
Mailing Address - Country:US
Mailing Address - Phone:510-706-2022
Mailing Address - Fax:510-452-5683
Practice Address - Street 1:6355 TELEGRAPH AVE
Practice Address - Street 2:STE 208
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1371
Practice Address - Country:US
Practice Address - Phone:510-706-2022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist