Individual provider · Type 1 NPI

Batara Yudha, LMT

Massage Therapist · St. Petersburg, FL

NPI number 1578995874 Active

Practice location

400 Carillon Pkwy, 130
St. Petersburg, FL 33716-1290

Call (727) 202-1222 Map

Mailing address

4701 88th Ave N Apt 805
Pinellas Park, FL 33782-5722

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA73451 (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 1578995874

Batara Yudha, LMT's National Provider Identifier is 1578995874, issued on Aug 8, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Petersburg, FL. The record was last updated on Aug 8, 2013.