Individual provider · Type 1 NPI

Tiara Basora, LMT

Massage Therapist · Winter Park, FL

NPI number 1376252601 Active

Practice location

1298 Minnesota Ave Ste E
Winter Park, FL 32789-7115

Other practice locations

  • 805 E Broward Blvd Ste 301, Fort Lauderdale, FL 33301-2046 · (352) 887-0175

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA98205 (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 1376252601

Tiara Basora, LMT's National Provider Identifier is 1376252601, issued on Nov 15, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Winter Park, FL. The record was last updated on Nov 15, 2022.