Doctor Name: | MRS. TANJA HARTJE-AIKEN |
NPI Number: | 1154603132 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA51066 |
Business Practice Address: | 12200 San Servando Ave North Port, FL - 342871229 |
Business Phone Number: | 9414261692 |
Business Fax Number: | 9414299183 |
Mailing Address: | 13555 Jaeger Ave, PORT CHARLOTTE |
State: | FL |
Postal Code: | 339531338 |
Phone Number: | 9415851171 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2011 |
NPI Last Update Date: | 09/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA51066 |
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. |