Individual provider · Type 1 NPI

Durand Allen Warren, SELF

Massage Therapist · Newark, NJ

NPI number 1164329868 Active

Practice location

863 S 16th St
Newark, NJ 07108-1120

Call (347) 837-2326 Map

Fax (347) 837-2326

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18KT00779200 (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.

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About NPI 1164329868

Durand Allen Warren, SELF's National Provider Identifier is 1164329868, issued on Oct 24, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Newark, NJ. The record was last updated on Oct 24, 2026.