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Alexis Giovanna Dacosta
Massage Therapist in Los Angeles, California
NPI 1073394953

Alexis Giovanna Dacosta is a Massage Therapist based in Los Angeles, CA. Alexis Giovanna Dacosta practices in Los Angeles, CA. The NPI Number for Alexis Giovanna Dacosta is 1073394953 and holds a License No. 90012 (California).

The current practice location address for Alexis Giovanna Dacosta is 1601 N Gower St Ste 105, Los Angeles, CA and can be reached out via phone at 310-339-6737.

Location: 1601 N Gower St Ste 105, Los Angeles, CA, 90028-7596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073394953
Provider Name
Alexis Giovanna Dacosta
Credential
Provider Entity Type
Individual
Gender
Female
Address
1601 N Gower St Ste 105, Los Angeles, CA, 90028-7596
Phone Number
310-339-6737
Fax Number
Provider Enumeration Date
10/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 N Gower St Ste 105
City
Los Angeles
State
California
Zip
90028-7596
Phone Number
310-339-6737
Fax Number
person
Provider Business Mailing Address Details
Address
1601 N Gower St Ste 105
City
Los Angeles
State
California
Zip
90028-7596
Phone Number
310-339-6737
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
90012 (California)
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.
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