Individual provider · Type 1 NPI

Desirae Madison Gavidia, LMT, MMP

Massage Therapist · Stuart, FL

NPI number 1083041065 Active

Practice location

555 Colorado Ave, Suite 111
Stuart, FL 34994-3025

Call (772) 497-6126 Map

Mailing address

501 SW Timber Trl
Stuart, FL 34997-6266

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA65422 (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.

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About NPI 1083041065

Desirae Madison Gavidia, LMT, MMP's National Provider Identifier is 1083041065, issued on Oct 4, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Stuart, FL. The record was last updated on Oct 4, 2013.