Individual
KAYLEE SOFIA NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
265 NE 53RD ST APT 3, MIAMI, FL 33137-2839
(407) 967-1625
Mailing address
265 NE 53RD ST APT 3, MIAMI, FL 33137-2839
(407) 967-1625
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA95906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N120517979080
DL
FL
Enumeration date
10/16/2020
Last updated
10/16/2020
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