Individual provider · Type 1 NPI
Luciano Diaz-Tairovich, LMT
Massage Therapist · Dover, NJ
NPI number
1083128649
Active
Practice location
2 E Blackwell St Ste 15
Dover, NJ 07801-4645
Fax (973) 361-1360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 18KT00638600 (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.
Other massage therapist providers in Dover
About NPI 1083128649
Luciano Diaz-Tairovich, LMT's National Provider Identifier is 1083128649, issued on Nov 18, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dover, NJ. The record was last updated on Nov 18, 2017.