LUCIANO DIAZ-TAIROVICH LMT
NPI 1083128649
Massage Therapist in Dover, NJ
- Individual
- Male
- Massage Therapist
About LUCIANO DIAZ-TAIROVICH
This page provides the complete NPI Profile along with additional information for Luciano Diaz-tairovich, a provider established in Dover, New Jersey with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1083128649 assigned on November 2017. The practitioner's primary taxonomy code is 225700000X with license number 18KT00638600 (NJ). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1083128649 Verify this NPI
- Provider Name
- LUCIANO DIAZ-TAIROVICH LMT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2 E BLACKWELL ST STE 15 DOVER, NJ 07801
- Location Phone
- (908) 220-0732
- Location Fax
- (973) 361-1360
- Mailing Address
- 2 E BLACKWELL ST STE 15 DOVER, NJ 07801
- Mailing Phone
- (908) 220-0732
- Mailing Fax
- (973) 361-1360
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-18-2017
- Last Update Date
- 11-18-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 18KT00638600
- License State
- NJ
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083128649, enumerated as an "individual" on November 18, 2017.
The provider is located at 2 E BLACKWELL ST STE 15 DOVER, NJ 07801 and the phone number is (908) 220-0732.
Massage Therapist with taxonomy code 225700000X.
