MIRACLE MASSAGE DAY SPA NPI 1033660790

NPI Information

NPI: 1033660790
Provider Name: MIRACLE MASSAGE DAY SPA

Other Name: NATHALY SOTO GONZALEZ

Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
3415 W CRAIG RD
SUTE 209
NORTH LAS VEGAS, NV
ZIP 89032
Phone: (702) 636-8598
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MIRACLE MASSAGE DAY SPA is a massage therapist in North Las Vegas, NV. The provider is 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. MIRACLE MASSAGE DAY SPA NPI is 1033660790. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Nathaly Soto Gonzalez.

The provider's business location address is:

3415 W CRAIG RD
SUTE 209
NORTH LAS VEGAS, NV
ZIP 89032-110
Phone: (702) 636-8598

The provider's authorized official is Nathaly Soto Gonzalez .
The authorized official title is Massage Therapist and has the following contact phone number (702) 756-5356.

The enumeration date for this NPI number is 10/18/2016 and was last updated on 10/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		NVMT6638	NEVADA	Yes

What is NPI?

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This page was last updated on: 4/28/2024

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