Individual provider · Type 1 NPI
Althea Gravesandy Vassall, LMT
Massage Therapist · Davie, FL
NPI number
1013629914
Active
Practice location
12555 Orange Dr Ste 117
Davie, FL 33330-4304
Mailing address
15757 Pines Blvd Ste 107
Pembroke Pines, FL 33027-1207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA101654 (FL) |
Massage Therapist: 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.
Another provider at this address
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About NPI 1013629914
Althea Gravesandy Vassall, LMT's National Provider Identifier is 1013629914, issued on Dec 22, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Davie, FL. The record was last updated on Oct 15, 2024.