Individual provider · Type 1 NPI

Lisdan Gonzalez Sr.

Massage Therapist · Miami, FL

NPI number 1356808497 Active

Practice location

777 NW 72nd Ave Ste 3072
Miami, FL 33126-3188

Call (305) 396-3862 Map

Fax (305) 396-8526

Specialties and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician 208100000XHCC11651 (FL)
Massage Therapist Primary 225700000XHCC11651 (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 1356808497

Lisdan Gonzalez Sr.'s National Provider Identifier is 1356808497, issued on Feb 25, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Miami, FL. The record was last updated on Feb 25, 2019.