KEVIN NOVRESKE NPI 1407146160

NPI Information

NPI: 1407146160
Provider Name: KEVIN NOVRESKE
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
1320 NE 2ND AVE
FORT LAUDERDALE, FL
ZIP 33304
Phone: (954) 467-9019
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Kevin Novreske is a massage therapist in Fort Lauderdale, FL. 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. Kevin Novreske NPI is 1407146160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1320 NE 2ND AVE
FORT LAUDERDALE, FL
ZIP 33304-020
Phone: (954) 467-9019

The enumeration date for this NPI number is 4/15/2011 and was last updated on 4/15/2011.

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		MA 62500	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	677739200	MEDICAID	FLORIDA

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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