Individual provider · Type 1 NPI

Dominique Douglas

Massage Therapist · Las Vegas, NV

NPI number 1083416358 Active

Practice location

2901 N Tenaya Way Ste 210
Las Vegas, NV 89128-1404

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12687 (NV)

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 1083416358

Dominique Douglas's National Provider Identifier is 1083416358, issued on Mar 26, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 26, 2025.