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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA41588 (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.