Individual
CHANTELL VEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2717 E OAKLAND PARK BLVD, STE 201, FORT LAUDERDALE, FL 33306
(754) 229-0653
Mailing address
PO BOX 220482, HOLLYWOOD, FL 33022-0482
(786) 344-2815
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
90221
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90221
MASSAGE THERAPY LICENSE
FL
Enumeration date
09/12/2022
Last updated
09/12/2022
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