Individual provider · Type 1 NPI

Kristen Monique De la Rua, LMT

Massage Therapist · South Miami, FL

NPI number 1982241972 Active

Practice location

7600 SW 57th Ave Ste 304
South Miami, FL 33143-5427

Mailing address

570 NE 64th St Apt 6
Miami, FL 33138-6149

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA41588 (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 1982241972

Kristen Monique De la Rua, LMT's National Provider Identifier is 1982241972, issued on Dec 9, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in South Miami, FL. The record was last updated on Dec 9, 2019.