Individual provider · Type 1 NPI

Alfred Medina, L.M.T.

Massage Therapist · Davie, FL

NPI number 1306074117 Active

Practice location

4691 S University Dr
Davie, FL 33328-3817

Call (954) 652-9804 Map

Mailing address

4984 SW 158th Way
Miramar, FL 33027-5607

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X46042 (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 1306074117

Alfred Medina, L.M.T.'s National Provider Identifier is 1306074117, issued on Jun 30, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Davie, FL. The record was last updated on Jun 30, 2009.