Individual provider · Type 1 NPI

Alexander Poloukine

Massage Therapist · Port St. Lucie, FL

NPI number 1144435934 Active

Practice location

1701 SE Hillmoor Dr, Suite 1A
Port St. Lucie, FL 34952-7552

Mailing address

710 SW Belmont Cir
Port St. Lucie, FL 34953-6337

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA40421 (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 1144435934

Alexander Poloukine's National Provider Identifier is 1144435934, issued on May 14, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jul 8, 2007.