Individual provider · Type 1 NPI
Sergey Sklarov, LMT
Massage Therapist · Fort Lee, NJ
NPI number
1679506380
Active
Practice location
421 Park Pl, Suite 1-C
Fort Lee, NJ 07024-3735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 18KT00327300 (NJ) |
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 1679506380
Sergey Sklarov, LMT's National Provider Identifier is 1679506380, issued on Jul 8, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Lee, NJ. The record was last updated on Jan 25, 2013.