Individual provider · Type 1 NPI
Tatiana V. Gostev, MASSAGE THERAPIST
Massage Therapist · Fair Lawn, NJ
NPI number
1659985299
Active
Practice location
13-02 Fair Lawn Ave
Fair Lawn, NJ 07410-2229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 026383 (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 1659985299
Tatiana V. Gostev, MASSAGE THERAPIST's National Provider Identifier is 1659985299, issued on Sep 1, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fair Lawn, NJ. The record was last updated on Sep 1, 2020.