TALATA NESSIBATOU AWOUSSOU AGOUDAVI LMT NPI 1326781410

NPI Information

NPI: 1326781410
Provider Name: TALATA NESSIBATOU AWOUSSOU AGOUDAVI, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
16323 MATHIAS AVE
JAMAICA, NY
ZIP 11433
Phone: (347) 876-1047
Get Directions

Talata Nessibatou Awoussou Agoudavi, LMT is a massage therapist in Jamaica, NY. 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. Talata Nessibatou Awoussou Agoudavi, LMT NPI is 1326781410. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16323 MATHIAS AVE
JAMAICA, NY
ZIP 11433-926
Phone: (347) 876-1047

The enumeration date for this NPI number is 4/16/2022 and was last updated on 4/16/2022.

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		032379-01	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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