Doctor Name: | SANDRA VELA |
NPI Number: | 1104151356 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MA 55765 |
Business Practice Address: | 1705 E Hwy 50 Suite B Clermont, FL - 347115186 |
Business Phone Number: | 3523947577 |
Business Fax Number: | 3523948000 |
Mailing Address: | 3428 Tumbling River Dr, CLERMONT |
State: | FL |
Postal Code: | 347118958 |
Phone Number: | 4074610776 |
Fax Number: | 3523948000 |
NPI Enumeration Date: | 10/06/2009 |
NPI Last Update Date: | 10/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA 55765 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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. |