Individual
NATALIYA GUREVICH PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT11861
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15705317
CAQH
HI
Enumeration date
03/16/2016
Last updated
02/10/2023
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