Individual provider · Type 1 NPI

Young Cannon, LMT

Massage Therapist · North Miami, FL

NPI number 1134572779 Active

Practice location

2142 NE 123rd St
North Miami, FL 33181-2902

Call (305) 967-8976 Map

Mailing address

300 SW 97th Ter
Pembroke Pines, FL 33025-1074

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60752 (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 1134572779

Young Cannon, LMT's National Provider Identifier is 1134572779, issued on Jul 19, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in North Miami, FL. The record was last updated on Jul 19, 2016.