Individual
IVANA MILENA RIETHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1200 S FEDERAL HWY, BOYNTON BEACH, FL 33435-6048
(561) 733-3392
Mailing address
6510 NE 20TH TER, FORT LAUDERDALE, FL 33308-1018
(561) 451-6028
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA95564
FL
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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