Doctor Name: | ADRIANA URISTA |
NPI Number: | 1003275116 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.T. |
License Number: | 33.022691 |
Business Practice Address: | 215 E Forest Ave South Lebanon, OH - 450651311 |
Business Phone Number: | 5134804491 |
Business Fax Number: | 5134804493 |
Mailing Address: | Po Box 210, SOUTH LEBANON |
State: | OH |
Postal Code: | 450650210 |
Phone Number: | 5134804491 |
Fax Number: | 5134804493 |
NPI Enumeration Date: | 02/17/2016 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 33.022691 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |