Individual provider · Type 1 NPI
Joaquina Decembre
Massage Therapist · Fort Myers, FL
NPI number
1295397834
Active
Practice location
4066 Evans Ave Ste 4
Fort Myers, FL 33901-9397
Mailing address
3004 18th St SW
Lehigh Acres, FL 33976-3636
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA79467 (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 1295397834
Joaquina Decembre's National Provider Identifier is 1295397834, issued on Jul 3, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Myers, FL. The record was last updated on Jul 3, 2019.