Individual provider · Type 1 NPI

Diana Tavares de Souza Bueno, MT

Massage Therapist · Coconut Creek, FL

NPI number 1750150413 Active

Practice location

4400 W Sample Rd Ste 112
Coconut Creek, FL 33073-3457

Call (954) 914-5997 Map

Mailing address

2240 N Cypress Bend Dr Apt 201
Pompano Beach, FL 33069-5609

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA103761 (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 1750150413

Diana Tavares de Souza Bueno, MT's National Provider Identifier is 1750150413, issued on Dec 22, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Coconut Creek, FL. The record was last updated on Dec 22, 2023.