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MS. SE NA MAZANEC LMT, MMP
NPI 1053049536
Massage Therapist in Burke, VA

Active since August 11, 2022
9554 OLD KEENE MILL RD STE D, BURKE, VA 22015(703) 508-1981 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Se Na Mazanec Lmt, Mmp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SE NA MAZANEC LMT, MMP (NPI 1053049536) is an individual massage therapist in Burke, Virginia, licensed in Virginia (0019018301) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1053049536
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMS. SE NA MAZANECCredential: LMT, MMP
Location Address9554 OLD KEENE MILL RD STE DBurke, VA 22015-4287
Mailing Address9145 Broken Oak PlBurke, VA 22015-3566 · (703) 508-1981
Phone(703) 508-1981
Sole ProprietorNo
Enumeration DateAugust 11, 2022
NPPES CertifiedAugust 11, 2022
✔ NPI 1053049536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in VA · 0019018301
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
9554 OLD KEENE MILL RD STE D, Burke, VA 22015
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TINA HASHTROUDILAR DC
Chiropractor
9554 OLD KEENE MILL RD STE D
BURKE, VA 22015
Fairfax County (703) 372-5151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Se Na Mazanec's NPI number?

The NPI number for Se Na Mazanec is 1053049536. It was assigned to this individual provider in the NPPES registry on August 11, 2022.

Where is Se Na Mazanec located?

Se Na Mazanec practices at 9554 Old Keene Mill Rd Ste D, Burke, VA 22015. The listed phone number is (703) 508-1981.

What is Se Na Mazanec's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Se Na Mazanec was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.