Individual provider · Type 1 NPI

Vicente A. Bolanos I

Massage Therapist · Pembroke Pines, FL

NPI number 1740879527 Active

Practice location

501 NW 103rd Ave
Pembroke Pines, FL 33026-3924

Call (954) 251-1497 Map

Fax (954) 404-9537

Mailing address

4791 SW 82nd Ave
Davie, FL 33328-3705

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA74686 (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.

3 other providers at this address

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About NPI 1740879527

Vicente A. Bolanos I's National Provider Identifier is 1740879527, issued on Jan 15, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pembroke Pines, FL. The record was last updated on Jan 15, 2021.