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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 18KT01186900 (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.