Stephanie Jean Victa in Lake Worth - Massage Therapist
Stephanie Jean Victa - NPI 1922165570
Stephanie Jean Victa is a Massage Therapist in Lake Worth, Florida. Stephanie Jean Victa practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Stephanie Jean Victa is 1922165570. The last update date is 2007-07-08.
Stephanie Jean Victa's current location address is 1507 19th Ave N, Lake Worth, Florida. You can contact this provider via phone number 5616286412 and fax number 5615889583. The mailing address for Stephanie Jean Victa is 1507 19th Ave N, Lake Worth, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Jean Victa |
|---|---|
| Address | 1507 19th Ave N, Lake Worth, Florida |
| Phone Number | 5616286412 |
| Fax Number | 5615889583 |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1922165570 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1507 19th Ave N |
|---|---|
| City | Lake Worth |
| State | Florida (FL) |
| Post Code | 334606063 |
| Phone Number | 5616286412 |
| Fax Number | 5615889583 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | 30142 |
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Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stephanie Jean Victa by the Centers for Medicare & Medicaid Services?
The Stephanie Jean Victa has been issued the NPI (National Provider Identifier) 1922165570 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Stephanie Jean Victa is geographically located?
The Stephanie Jean Victa is physically situated at the following location: 1507 19Th Ave N, Lake Worth, FL, 334606063.
What is Stephanie Jean Victa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stephanie Jean Victa is Massage Therapist, and the taxonomy code that classifies this field of practice is 225700000X.
When was the Stephanie Jean Victa's 1922165570 issued?
The Stephanie Jean Victa's 1922165570 was issued on 2007-01-02.
As of what date were the details pertaining to Stephanie Jean Victa last refreshed?
The information related to the Stephanie Jean Victa, including its address, specialty, and other relevant details, was last updated on 2007-07-08.