Individual provider · Type 1 NPI

Ivan Martin, LMT

Massage Therapist · Miami, FL

NPI number 1780975854 Active

Practice location

750 NW 43rd Ave, Apt 605
Miami, FL 33126-3559

Call (305) 896-5025 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA52337 (FL)
Massage Therapist 225700000XMA61381 (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 1780975854

Ivan Martin, LMT's National Provider Identifier is 1780975854, issued on Apr 25, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Miami, FL. The record was last updated on Apr 25, 2011.