MAXINE SOUVENIR LMT NPI 1790401966

NPI Information

  • NPI: 1790401966
  • Provider Name: MAXINE SOUVENIR, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 100 UNION ST APT 518
    ELIZABETH, NJ
    ZIP 07202
  • Phone: (347) 422-4370

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NPI Details

Maxine Souvenir, LMT is a massage therapist in Elizabeth, NJ. 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. Maxine Souvenir, LMT NPI is 1790401966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 UNION ST APT 518
ELIZABETH, NJ
ZIP 07202-171
Phone: (347) 422-4370

The enumeration date for this NPI number is 10/18/2022 and was last updated on 10/18/2022.

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
1225700000XMassage Therapist18KT01438900NEW JERSEYYes

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: 11/21/2025

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