Individual provider · Type 1 NPI
Sara Matteucci
Massage Therapist · Fort Wayne, IN
NPI number
1588066914
Active
Practice location
3102 Mallard Cove Ln
Fort Wayne, IN 46804-2882
Mailing address
4959 Reed Rd
Fort Wayne, IN 46835-3549
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT21003352 (IN) |
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 1588066914
Sara Matteucci's National Provider Identifier is 1588066914, issued on Sep 17, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 17, 2014.