Individual provider · Type 1 NPI
Evangeline Elea Dardouni, LMT
Massage Therapist · Staten Island, NY
NPI number
1184238362
Active
Practice location
18 Lerer Ln
Staten Island, NY 10307-2401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 026928 (NY) |
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 1184238362
Evangeline Elea Dardouni, LMT's National Provider Identifier is 1184238362, issued on Sep 3, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Staten Island, NY. The record was last updated on Sep 3, 2020.