is a Massage Therapist in Fort Lauderdale, Florida. practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for is 1194982140. The last update date is .
's current location address is 2655 E Oakland Park Blvd, Fort Lauderdale, Florida. You can contact this provider via phone number 9545649536 and fax number 9545652910. The mailing address for is 2655 E Oakland Park Blvd, Fort Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 2655 E Oakland Park Blvd, Fort Lauderdale, Florida |
Phone Number | 9545649536 |
Fax Number | 9545652910 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1194982140 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 2655 E Oakland Park Blvd |
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City | Fort Lauderdale |
State | Florida (FL) |
Post Code | 333061608 |
Phone Number | 9545649536 |
Fax Number | 9545652910 |
Provider's Primary Taxonomy Detail
Speciality | Massage Therapist |
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Taxonomy | 225700000X |
Licence No | LIC #19555 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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686157196 | FL | MED WAIVER |
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