Individual provider · Type 1 NPI

Katherine Soo Tian Tan

Massage Therapist · Juno Beach, FL

NPI number 1306977590 Active

Practice location

570 Ocean Dr, Holistic Manage & Wellness Clinics # 501
Juno Beach, FL 33408

Fax (954) 491-6862

Mailing address

1501 South Ocean Drive, Apt 803
Hollywood, FL 33019-2369

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA43645 (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 1306977590

Katherine Soo Tian Tan's National Provider Identifier is 1306977590, issued on Mar 8, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Juno Beach, FL. The record was last updated on Jul 8, 2007.