Organization
GENTLE MASSAGE THERAPY, INC
Active
Other names
Gentle Massage Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXIMO R LOPEZ MA 40187 (MASSAGE THERAPIST)
(786) 866-9727
Entity
Organization
Contact information
Practice address
5041 W OAKLAND PARK BLVD APT 308, LAUDERDALE LAKES, FL 33313-1564
(786) 866-9727
(954) 953-2192
Mailing address
5041 W OAKLAND PARK BLVD APT 308, LAUDERDALE LAKES, FL 33313-1564
(786) 866-9727
(954) 953-2192
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
40187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356675995
—
FL
Enumeration date
08/03/2009
Last updated
12/08/2022
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