Organization Name: | NESTOR A VECINAL |
NPI Number: | 1093993842 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NESTOR ABACA VECINAL (OWNER) |
Mailing Address: | 10937 County Road 67 Manvel |
State: | TX US |
Postal Code: | 77578 |
Phone Number: | 8322215734 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2008 |
NPI Last Update Date: | 07/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT104916 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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. |