Individual provider · Type 1 NPI

Kathiana Prophete

Massage Therapist · Maplewood, NJ

NPI number 1063072775 Active

Practice location

1933 Springfield Ave
Maplewood, NJ 07040-3416

Mailing address

1167 E Jersey St Apt 3R
Elizabeth, NJ 07201-2374

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18KT01186900 (NJ)

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.

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About NPI 1063072775

Kathiana Prophete's National Provider Identifier is 1063072775, issued on Jun 14, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Maplewood, NJ. The record was last updated on Jun 14, 2019.