Individual provider · Type 1 NPI
Juan David Vera Sr., MASSAGE THERAPIST
Massage Therapist · Jackson Heights, NY
NPI number
1366108607
Active
Practice location
3555 73rd St
Jackson Heights, NY 11372-4152
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 028568 (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 1366108607
Juan David Vera Sr., MASSAGE THERAPIST's National Provider Identifier is 1366108607, issued on Nov 11, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jackson Heights, NY. The record was last updated on Nov 11, 2021.