Individual provider · Type 1 NPI

David M. Pena Sariol, CMT

Massage Therapist · Las Vegas, NV

NPI number 1164833638 Active

Practice location

4550 E Charleston Blvd
Las Vegas, NV 89104-5525

Fax (702) 445-7620

Mailing address

3712 Colonial Dr
Las Vegas, NV 89121-4416

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNVMT6718 (NV)
Massage Therapist 225700000XMA61455 (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 1164833638

David M. Pena Sariol, CMT's National Provider Identifier is 1164833638, issued on May 18, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Las Vegas, NV. The record was last updated on May 20, 2014.