Individual provider · Type 1 NPI
Joseph Matacic Jr., LMT
Massage Therapist · Mineral Ridge, OH
NPI number
1770969792
Active
Practice location
3971 Main St Ste 4
Mineral Ridge, OH 44440-9749
Fax (330) 652-6454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7809 (OH) |
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.
About NPI 1770969792
Joseph Matacic Jr., LMT's National Provider Identifier is 1770969792, issued on Jul 31, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mineral Ridge, OH. The record was last updated on Jul 31, 2015.