Doctor Name: | MISS AMARILYS C MEDINA |
NPI Number: | 1184757411 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA44858 |
Business Practice Address: | 3754 W 12th Ave Hialeah, FL - 330124126 |
Business Phone Number: | 3052315151 |
Business Fax Number: | |
Mailing Address: | 7535 W 8th Ave, HIALEAH |
State: | FL |
Postal Code: | 330144007 |
Phone Number: | 7863252096 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA44858 |
Healthcare Provider Taxonomy: (Secondary) | X |
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. |