James Arthur Vestal in Fort Lauderdale - Massage Therapist
James Arthur Vestal - NPI 1720121692
James Arthur Vestal is a Massage Therapist in Fort Lauderdale, Florida. James Arthur Vestal practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for James Arthur Vestal is 1720121692. The last update date is 2007-07-08.
James Arthur Vestal's current location address is 2300 Se 4th Ave, Fort Lauderdale, Florida. You can contact this provider via phone number 9546983359. The mailing address for James Arthur Vestal is 2300 Se 4th Ave, Fort Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Arthur Vestal |
|---|---|
| Address | 2300 Se 4th Ave, Fort Lauderdale, Florida |
| Phone Number | 9546983359 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MASSAGE TH |
NPI Number Detail
| NPI Number | 1720121692 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2300 Se 4th Ave |
|---|---|
| City | Fort Lauderdale |
| State | Florida (FL) |
| Post Code | 333163902 |
| Phone Number | 9546983359 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA0011575 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MA0011575 | FL | LICENSE NUMBER | |
| EIN-0783358 | FL | TAX I. D. |
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What is the unique 10-digit identifier code assigned to James Arthur Vestal by the Centers for Medicare & Medicaid Services?
The James Arthur Vestal has been issued the NPI (National Provider Identifier) 1720121692 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the James Arthur Vestal's physical address?
The James Arthur Vestal is physically located at 2300 Se 4Th Ave, in the city of Fort Lauderdale, FL, with the postal code 333163902.
What is the James Arthur Vestal's area of specialization and corresponding taxonomy classification?
The James Arthur Vestal's specialty field is Massage Therapist, and it falls under the taxonomy code 225700000X, which categorizes healthcare providers based on their specialties.
When did the James Arthur Vestal receive its 1720121692?
The James Arthur Vestal was issued its 1720121692 on 2007-02-14, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to James Arthur Vestal most recently updated or revised?
The details related to James Arthur Vestal, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.