TALATA NESSIBATOU AWOUSSOU AGOUDAVI LMT
NPI 1326781410
Massage Therapist in Jamaica, NY

Q: What is Talata Awoussou Agoudavi's NPI number?

The NPI number for Talata Awoussou Agoudavi is 1326781410. It was assigned to this individual provider in the NPPES registry on April 16, 2022.

Q: What is Talata Awoussou Agoudavi's specialty?

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

Active since April 16, 2022

16323 MATHIAS AVE, JAMAICA, NY 11433(347) 876-1047 Get Directions Write a Review

NPPES record last updated: April 16, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Talata Nessibatou Awoussou Agoudavi Lmt NPPES

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

TALATA NESSIBATOU AWOUSSOU AGOUDAVI LMT (NPI 1326781410) is an individual massage therapist in Jamaica, New York, licensed in New York (032379-01) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1326781410

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameTALATA NESSIBATOU AWOUSSOU AGOUDAVICredential: LMT

Location Address16323 MATHIAS AVEJamaica, NY 11433-3926

Mailing Address16323 Mathias AveJamaica, NY 11433-3926 · (347) 876-1047

Phone(347) 876-1047

Sole ProprietorYes

Enumeration DateApril 16, 2022

NPPES CertifiedApril 16, 2022

✔ NPI 1326781410 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 NY · 032379-01

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.

16323 MATHIAS AVE, Jamaica, NY 11433

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

WOODHULL MEDICAL CENTER

General Acute Care Hospital

16323 MATHIAS AVE
JAMAICA, NY 11433

Queens County (718) 880-2758

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 Talata Awoussou Agoudavi's NPI number?

The NPI number for Talata Awoussou Agoudavi is 1326781410. It was assigned to this individual provider in the NPPES registry on April 16, 2022.

Where is Talata Awoussou Agoudavi located?

Talata Awoussou Agoudavi practices at 16323 Mathias Ave, Jamaica, NY 11433. The listed phone number is (347) 876-1047.

What is Talata Awoussou Agoudavi'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 Talata Awoussou Agoudavi was last updated on April 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.