Doctor Name: | DANIEL SELVAGGI |
NPI Number: | 1457479669 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.M.T. |
License Number: | MA9828 |
Business Practice Address: | 205 N Walnut St Suite 400 Bloomington, IN - 474043982 |
Business Phone Number: | 8123405212 |
Business Fax Number: | |
Mailing Address: | 310 S Rogers St, BLOOMINGTON |
State: | IN |
Postal Code: | 474031458 |
Phone Number: | 8123391391 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA9828 |
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. |